Jacklyn Penny Churchill, AUD | |
1 Diamond Hill Rd, Berkeley Heights, NJ 07922-2104 | |
(908) 273-4300 | |
Not Available |
Full Name | Jacklyn Penny Churchill |
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Gender | Female |
Speciality | Audiologist |
Location | 1 Diamond Hill Rd, Berkeley Heights, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386260271 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
231H00000X | Audiologist | 41YA00112100 (New Jersey) | Primary |
237600000X | Audiologist-hearing Aid Fitter | DA12071 (Arizona) | Secondary |
Provider Name | Summit Medical Group Pa |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1942254347 PECOS PAC ID: 5395642276 Enrollment ID: O20031218000011 |
Provider Name | Northland Hearing Centers Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1225070667 PECOS PAC ID: 3072514884 Enrollment ID: O20090512000243 |
Mailing Address | Practice Location Address |
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Jacklyn Penny Churchill, AUD 1 Diamond Hill Rd, Berkeley Heights, NJ 07922-2104 Ph: (908) 273-4300 | Jacklyn Penny Churchill, AUD 1 Diamond Hill Rd, Berkeley Heights, NJ 07922-2104 Ph: (908) 273-4300 |
Dr. Jordana Moesch-friedman, AU.D Audiologist Medicare: Accepting Medicare Assignments Practice Location: 1 Diamond Hill Rd, Berkeley Heights, NJ 07922 Phone: 908-277-8868 | |
Randi Rachael Pogash, MS, AUD Audiologist Medicare: Not Enrolled in Medicare Practice Location: 1 Diamond Hill Rd, Berkeley Heights, NJ 07922 Phone: 908-273-4300 | |
Alyssa Jaclyn Wendolowski, AUD Audiologist Medicare: Not Enrolled in Medicare Practice Location: 1 Diamond Hill Rd, Berkeley Heights, NJ 07922 Phone: 908-273-4300 | |
Dr. Caitlin Faccone, AUD Audiologist Medicare: Accepting Medicare Assignments Practice Location: 1 Diamond Hill Rd, Berkeley Heights, NJ 07922 Phone: 908-277-8992 | |
Dr. Jennifer Marianne Marchitto, AU.D. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 1 Diamond Hill Rd, Berkeley Heights, NJ 07922 Phone: 908-277-8868 | |
Dr. Kayla Holstad, AU.D. Audiologist Medicare: Accepting Medicare Assignments Practice Location: 1 Diamond Hill Rd, Berkeley Heights, NJ 07922 Phone: 908-277-8868 |