Jill Anne Pruvost, MS, CCC-A | |
7301 N Knoxville Ave, Peoria, IL 61614-2017 | |
(309) 589-5900 | |
(309) 683-4120 |
Full Name | Jill Anne Pruvost |
---|---|
Gender | Female |
Speciality | Qualified Audiologist |
Experience | 14 Years |
Location | 7301 N Knoxville Ave, Peoria, Illinois |
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 |
---|---|---|---|
1366456527 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
231H00000X | Audiologist | 147.001201 (Illinois) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Peoria Ear Nose And Throat Group Sc | 9234179870 | 17 |
Provider Name | Peoria Ear Nose And Throat Group Sc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1952380628 PECOS PAC ID: 9234179870 Enrollment ID: O20050503001234 |
Mailing Address | Practice Location Address |
---|---|
Jill Anne Pruvost, MS, CCC-A 7301 N Knoxville Ave, Peoria, IL 61614-2017 Ph: (309) 589-5900 | Jill Anne Pruvost, MS, CCC-A 7301 N Knoxville Ave, Peoria, IL 61614-2017 Ph: (309) 589-5900 |
Dr. Caroline Marie Rayburn, AUD Audiologist Medicare: Accepting Medicare Assignments Practice Location: 200 E Pennsylvania Ave, Peoria, IL 61603 Phone: 309-624-4000 | |
Tina Marie Leman, MS Audiologist Medicare: Medicare Enrolled Practice Location: 7301 N Knoxville Ave, Peoria, IL 61614 Phone: 309-589-5900 Fax: 309-689-0312 | |
Sheila Delk, MS Audiologist Medicare: Not Enrolled in Medicare Practice Location: 7301 N Knoxville Ave, Peoria, IL 61614 Phone: 309-589-5900 Fax: 309-683-4120 | |
Kristina Collins, AUD Audiologist Medicare: Not Enrolled in Medicare Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-2630 Fax: 309-655-2603 | |
Dr. Jacey Gail Hoekstra, AUD Audiologist Medicare: Accepting Medicare Assignments Practice Location: 7301 N Knoxville Ave, Peoria, IL 61614 Phone: 309-589-5900 Fax: 309-589-4631 | |
Mrs. Sharon Ann Benivegna, MA, CCC-A Audiologist Medicare: Accepting Medicare Assignments Practice Location: 8600 N. State Rt 91, Suite 300, Peoria, IL 61615 Phone: 309-691-6616 Fax: 309-691-2943 | |
Macie Mcdaniel, AUD Audiologist Medicare: Not Enrolled in Medicare Practice Location: 200 E Pennsylvania Ave, Peoria, IL 61603 Phone: 309-624-4000 |