Mallory Nichole Humphrey, AUD | |
21000 E 12 Mile Rd Ste 111, Saint Clair Shores, MI 48081-1156 | |
(586) 779-7610 | |
Not Available |
Full Name | Mallory Nichole Humphrey |
---|---|
Gender | Female |
Speciality | Qualified Audiologist |
Experience | 3 Years |
Location | 21000 E 12 Mile Rd Ste 111, Saint Clair Shores, Michigan |
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 |
---|---|---|---|
1881269074 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
231H00000X | Audiologist | 1601001020 (Michigan) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Hearing Care Center Inc | 3072845882 | 2 |
Provider Name | Ascension St John Hospital |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1043478910 PECOS PAC ID: 3173424082 Enrollment ID: O20040115000409 |
Provider Name | Hearing Care Center Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1639615842 PECOS PAC ID: 3072845882 Enrollment ID: O20191029000585 |
Mailing Address | Practice Location Address |
---|---|
Mallory Nichole Humphrey, AUD 5428 Burton Rd, Mussey, MI 48014-1111 Ph: () - | Mallory Nichole Humphrey, AUD 21000 E 12 Mile Rd Ste 111, Saint Clair Shores, MI 48081-1156 Ph: (586) 779-7610 |
Dr. Alexandra C Dadich, AUD Audiologist Medicare: Accepting Medicare Assignments Practice Location: 21603 E 11 Mile Rd, Saint Clair Shores, MI 48081 Phone: 248-569-5985 | |
Lakeshore Audiology Audiologist Medicare: Not Enrolled in Medicare Practice Location: 21000 E 12 Mile Rd, Suite 111, Saint Clair Shores, MI 48081 Phone: 586-779-7610 Fax: 586-779-1391 | |
Audionet Hearing Center Audiologist Medicare: Not Enrolled in Medicare Practice Location: 22631 Greater Mack Ave, Suite 100, Saint Clair Shores, MI 48080 Phone: 586-252-2914 Fax: 586-252-2918 | |
Mr. Aaron T Gale, Audiologist Medicare: Medicare Enrolled Practice Location: 21000 E 12 Mile Rd, Suite 111, Saint Clair Shores, MI 48081 Phone: 586-779-7610 | |
Jaclyn Marie Sommerville, AU.D, CCC-A Audiologist Medicare: Accepting Medicare Assignments Practice Location: 23233 Nine Mack Dr, Saint Clair Shores, MI 48080 Phone: 586-498-5000 Fax: 844-273-2104 | |
Sommerville Audiology, Llc Audiologist Medicare: Medicare Enrolled Practice Location: 23233 Nine Mack Dr, Saint Clair Shores, MI 48080 Phone: 586-498-5000 |