| Lauren Sullivan, | |
|
164 Greenview Dr, State College, PA 16803-2106 | |
| (814) 466-6396 | |
| (814) 466-6056 |
| Full Name | Lauren Sullivan |
|---|---|
| Gender | Female |
| Speciality | Qualified Audiologist |
| Experience | 3 Years |
| Location | 164 Greenview Dr, State College, Pennsylvania |
| 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 |
|---|---|---|---|
| 1619546801 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 231H00000X | Audiologist | 2201001835 (Virginia) | Secondary |
| 231H00000X | Audiologist | AT006988 (Pennsylvania) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Revolution Hearing | 6608249727 | 6 |
| Provider Name | Ear Nose And Throat And Facial Plastic Surgery Center Of Frederick |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1164517314 PECOS PAC ID: 5496858979 Enrollment ID: O20070321000690 |
| Provider Name | Hearing Resource Center Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1538692546 PECOS PAC ID: 8628310356 Enrollment ID: O20190430001225 |
| Provider Name | Revolution Hearing |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1154948420 PECOS PAC ID: 6608249727 Enrollment ID: O20230310000029 |
| Mailing Address | Practice Location Address |
|---|---|
| Lauren Sullivan, 1800 E Park Ave, State College, PA 16803-6701 Ph: (814) 231-7100 | Lauren Sullivan, 164 Greenview Dr, State College, PA 16803-2106 Ph: (814) 466-6396 |
Haley Link, AU.D. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 100 Oakwood Ave Ste 400, State College, PA 16803 Phone: 814-641-4327 Fax: 814-641-7104 | |
Sydney Hancock, AUD Audiologist Medicare: Not Enrolled in Medicare Practice Location: 3901 S Atherton St Ste 6814, State College, PA 16801 Phone: 814-466-6396 Fax: 814-466-6056 | |
Christopher Day, AUD Audiologist Medicare: Not Enrolled in Medicare Practice Location: 233 Easterly Pkwy, State College, PA 16801 Phone: 814-867-4327 | |
Albrecht Audiology, Llc Audiologist Medicare: Medicare Enrolled Practice Location: 233 Easterly Pkwy, State College, PA 16801 Phone: 814-867-4327 Fax: 814-867-4066 | |
William A Turley, EDD Audiologist Medicare: Not Enrolled in Medicare Practice Location: 611 University Dr, State College, PA 16801 Phone: 814-234-7280 Fax: 814-234-2490 | |
Dana J. Boddorf, AU.D. Audiologist Medicare: Accepting Medicare Assignments Practice Location: 233 Easterly Pkwy, Ste 102, State College, PA 16801 Phone: 814-867-4327 |