| Kelli Elizabeth Clark, AUD | |
|
1800 Dual Hwy Ste 303, Hagerstown, MD 21740-6648 | |
| (301) 739-0400 | |
| (301) 739-0402 |
| Full Name | Kelli Elizabeth Clark |
|---|---|
| Gender | Female |
| Speciality | Audiologist |
| Location | 1800 Dual Hwy Ste 303, Hagerstown, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255955548 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 231H00000X | Audiologist | 01521 (Maryland) | Primary |
| Provider Name | State Of Maryland - University Of Maryland College Park |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1871609545 PECOS PAC ID: 7416859327 Enrollment ID: O20081008000739 |
| Provider Name | Centers For Advanced Ent Care Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1447781620 PECOS PAC ID: 1658647359 Enrollment ID: O20171025001018 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelli Elizabeth Clark, AUD 1800 Dual Hwy Ste 303, Hagerstown, MD 21740-6648 Ph: (301) 739-0400 | Kelli Elizabeth Clark, AUD 1800 Dual Hwy Ste 303, Hagerstown, MD 21740-6648 Ph: (301) 739-0400 |
Jennifer Lynn Campbell, M.A., CCC-A Audiologist Medicare: Accepting Medicare Assignments Practice Location: 11110 Medical Campus Rd, Suite 126, Hagerstown, MD 21742 Phone: 301-714-4375 Fax: 301-714-4399 | |
Dr. Virginia Lea Wise, AU.D. Audiologist Medicare: Accepting Medicare Assignments Practice Location: 1800 Dual Hwy Ste 303, Hagerstown, MD 21740 Phone: 301-739-0400 Fax: 301-739-0402 | |
Laura Alaina Sherry, AUD Audiologist Medicare: Not Enrolled in Medicare Practice Location: 1100 Dual Hwy Ste A, Hagerstown, MD 21740 Phone: 301-791-1847 | |
Central Audiology Center, Llc Audiologist Medicare: Not Enrolled in Medicare Practice Location: 1800 Dual Hwy, Suite 301, Hagerstown, MD 21740 Phone: 301-739-0400 Fax: 301-739-0402 | |
Dr. Zella Shabasson, AU.D. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 366 Mill St, Hagerstown, MD 21740 Phone: 301-739-7667 | |
Margaret Trochlil Eackles, MS, CCC-A Audiologist Medicare: Accepting Medicare Assignments Practice Location: 11110 Medical Campus Rd, Suite 126, Hagerstown, MD 21742 Phone: 301-714-4375 Fax: 301-714-4399 |