Jillian Clark Blaisdell, | |
148 W River St Ste 2a, Providence, RI 02904-2615 | |
(401) 616-1719 | |
(401) 727-1979 |
Full Name | Jillian Clark Blaisdell |
---|---|
Gender | Female |
Speciality | Qualified Audiologist |
Experience | 6 Years |
Location | 148 W River St Ste 2a, Providence, Rhode Island |
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 |
---|---|---|---|
1881171403 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
231H00000X | Audiologist | AUD00242 (Rhode Island) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ri Ear Nose And Throat Physicians Inc | 8921109448 | 8 |
Provider Name | Ri Ear Nose & Throat Physicians Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1093861049 PECOS PAC ID: 8921109448 Enrollment ID: O20070726000805 |
Mailing Address | Practice Location Address |
---|---|
Jillian Clark Blaisdell, 148 W River St Ste 2a, Providence, RI 02904-2615 Ph: (401) 616-1719 | Jillian Clark Blaisdell, 148 W River St Ste 2a, Providence, RI 02904-2615 Ph: (401) 616-1719 |
Mr. Paul William Austin, M.ED., CCC-SLP-A Audiologist Medicare: Medicare Enrolled Practice Location: 115 Georgia Ave., Providence, RI 02905 Phone: 401-444-5485 Fax: 401-444-6212 | |
Dr. Stephany Faye Hanna, AU.D., CCC-A Audiologist Medicare: Not Enrolled in Medicare Practice Location: 134 Thurbers Ave Ste 215, Providence, RI 02905 Phone: 401-453-7751 | |
Dr. Andrew Peter Mcgrath, AU.D. Audiologist Medicare: Accepting Medicare Assignments Practice Location: 134 Thurbers Ave Ste 215, Providence, RI 02905 Phone: 401-453-7751 Fax: 401-276-7813 | |
Dr. Brianna Robichaud, AU.D. Audiologist Medicare: Medicare Enrolled Practice Location: 134 Thurbers Ave Ste 212, Providence, RI 02905 Phone: 401-453-7618 | |
Ms. Patricia Mary Sherman, M.S., CCC-A Audiologist Medicare: Not Enrolled in Medicare Practice Location: 115 Georgia Ave, Providence, RI 02905 Phone: 401-444-4052 Fax: 401-444-6212 | |
Lauren Marciano Malo, AUD Audiologist Medicare: Accepting Medicare Assignments Practice Location: 148 W River St Ste 2a, Providence, RI 02904 Phone: 401-728-0140 | |
Winnie Chung, MD Audiologist Medicare: Not Enrolled in Medicare Practice Location: 101 Dudley St, Providence, RI 02905 Phone: 401-274-1100 |