Jacelyn Krupke, AUD | |
2525 Chicago Ave, Minneapolis, MN 55404-4518 | |
(952) 992-5470 | |
Not Available |
Full Name | Jacelyn Krupke |
---|---|
Gender | Female |
Speciality | Audiologist |
Location | 2525 Chicago Ave, Minneapolis, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285111989 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
231H00000X | Audiologist | DA12242 (Arizona) | Primary |
231H00000X | Audiologist | 81091 (Texas) | Secondary |
Provider Name | Children's Health Care |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1932208808 PECOS PAC ID: 2668370966 Enrollment ID: O20040406000939 |
Mailing Address | Practice Location Address |
---|---|
Jacelyn Krupke, AUD 3200 E Camelback Rd, Ste 250, Phoenix, AZ 85018-2327 Ph: (602) 933-1814 | Jacelyn Krupke, AUD 2525 Chicago Ave, Minneapolis, MN 55404-4518 Ph: (952) 992-5470 |
Dr. Ann Westerback, AUD Audiologist Medicare: Not Enrolled in Medicare Practice Location: 2211 Park Ave, Minneapolis, MN 55404 Phone: 612-871-1144 | |
Ronni Michele Molinaro, MA CCCA Audiologist Medicare: Accepting Medicare Assignments Practice Location: 2211 Park Ave So, Minneapolis, MN 55404 Phone: 612-871-1144 Fax: 612-871-2012 | |
Mr. Aaron Penn, M.S. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 1 Veterans Dr, Minneapolis, MN 55417 Phone: 651-467-4084 | |
Yingjiu Nie, M.A. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 701 25th Ave S, Suite 200, Minneapolis, MN 55454 Phone: 612-339-2836 Fax: 612-339-9741 | |
Annette E Hurley, PHD Audiologist Medicare: Medicare Enrolled Practice Location: 1800 2nd St Ne, Minneapolis, MN 55418 Phone: 612-789-1236 Fax: 612-706-5555 | |
Dr. Thomas J Tedeschi, AU.D. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 150 S 5th St Ste 2300, Minneapolis, MN 55402 Phone: 763-268-4051 | |
Julie Ann Klosterman, MS CCCA Audiologist Medicare: Not Enrolled in Medicare Practice Location: 2211 Park Ave So, Minneapolis, MN 55404 Phone: 612-871-1144 Fax: 612-871-2012 |