Leslie A Shoulders, AUD | |
N84w16889 Menomonee Ave, Menomonee Falls, WI 53051-2810 | |
(262) 532-1560 | |
(262) 532-1380 |
Full Name | Leslie A Shoulders |
---|---|
Gender | Female |
Speciality | Audiologist |
Location | N84w16889 Menomonee Ave, Menomonee Falls, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124448717 | NPI | - | NPPES |
100092318 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
231H00000X | Audiologist | 2201001550 (Virginia) | Secondary |
231H00000X | Audiologist | 692 (Wisconsin) | Primary |
Provider Name | Childrens Specialty Group Pllc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1255354130 PECOS PAC ID: 5890788764 Enrollment ID: O20040406001195 |
Mailing Address | Practice Location Address |
---|---|
Leslie A Shoulders, AUD Po Box 735044, Chicago, IL 60673-5044 Ph: (262) 532-1560 | Leslie A Shoulders, AUD N84w16889 Menomonee Ave, Menomonee Falls, WI 53051-2810 Ph: (262) 532-1560 |
Mrs. Jennifer Lynn Johnson, Audiologist Medicare: Accepting Medicare Assignments Practice Location: N84w16889 Menomonee Ave Ste 10, Menomonee Falls, WI 53051 Phone: 262-251-7500 | |
Melissa Born, Audiologist Medicare: Not Enrolled in Medicare Practice Location: W186n9523 Bancroft Dr, Menomonee Falls, WI 53051 Phone: 262-502-3570 Fax: 262-502-3572 | |
Suzette M. Mineau, M.A. Audiologist Medicare: Not Enrolled in Medicare Practice Location: W186n9523 Bancroft Dr, Menomonee Falls, WI 53051 Phone: 262-502-3570 Fax: 262-502-3572 | |
Karen Nelson, AU D Audiologist Medicare: Accepting Medicare Assignments Practice Location: W180n7950 Town Hall Rd, Menomonee Falls, WI 53051 Phone: 262-255-2500 | |
Andrea Dunk, AU D Audiologist Medicare: Accepting Medicare Assignments Practice Location: W180n7950 Town Hall Rd, Menomonee Falls, WI 53051 Phone: 262-255-2500 | |
Karen M. Goetz, AU.D., CCC/A Audiologist Medicare: Not Enrolled in Medicare Practice Location: N84w16889 Menomonee Ave, Menomonee Falls, WI 53051 Phone: 262-251-7500 Fax: 262-251-7128 |