Jacqueline H Wylam, AUD | |
705 Riley Hospital Dr, 0860, Indianapolis, IN 46202-5109 | |
(317) 278-1255 | |
(317) 278-3743 |
Full Name | Jacqueline H Wylam |
---|---|
Gender | Female |
Speciality | Qualified Audiologist |
Experience | 35 Years |
Location | 705 Riley Hospital Dr, Indianapolis, Indiana |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972946713 | NPI | - | NPPES |
200646700 | Medicaid | IN | |
000000835776 | Other | IN | ANTHEM PROVIDER NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
231H00000X | Audiologist | 23001958A (Indiana) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
University Otolaryngology Associates, Inc. | 4587550645 | 42 |
Indiana University Health Care Associates Inc | 5799755864 | 905 |
Provider Name | University Otolaryngology Associates, Inc. |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1275563447 PECOS PAC ID: 4587550645 Enrollment ID: O20040225000643 |
Provider Name | Indiana University Health Care Associates Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1902032832 PECOS PAC ID: 5799755864 Enrollment ID: O20040727000955 |
Mailing Address | Practice Location Address |
---|---|
Jacqueline H Wylam, AUD 250 N Shadeland Ave Ste 200, Indianapolis, IN 46219-4959 Ph: () - | Jacqueline H Wylam, AUD 705 Riley Hospital Dr, 0860, Indianapolis, IN 46202-5109 Ph: (317) 278-1255 |
James Alexis Leyva, AU.D. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 1481 W 10th St, Indianapolis, IN 46202 Phone: 317-988-2233 | |
Drexler And Associates Audiologist Medicare: Not Enrolled in Medicare Practice Location: 2900 E 96th St, Suite B, Indianapolis, IN 46240 Phone: 317-573-4445 Fax: 317-573-2493 | |
Mrs. Nancy Kneeland, Audiologist Medicare: Not Enrolled in Medicare Practice Location: 1481 West 10th St., Va Medical Center, Indianapolis, IN 46202 Phone: 317-988-2233 | |
Connect Hearing, Inc. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 8202 Clearvista Pkwy, Ste 9c, Indianapolis, IN 46256 Phone: 317-621-5713 Fax: 317-913-1472 | |
John H Payne Assoc Inc Audiologist Medicare: Not Enrolled in Medicare Practice Location: 2020 West 86th St, 101, Indianapolis, IN 46260 Phone: 317-872-1557 Fax: 317-872-6042 | |
Kelly Matthews Mccain, M.S. Audiologist Medicare: Medicare Enrolled Practice Location: 2 N Meridian St, Indianapolis, IN 46204 Phone: 317-232-0881 | |
Stacey Lee Shilts, MS CCC-A Audiologist Medicare: Accepting Medicare Assignments Practice Location: 720 Eskenazi Ave, Indianapolis, IN 46202 Phone: 317-880-7666 |