Megan M Wallace, AUD | |
2502 E Empire St, Bloomington, IL 61704-3738 | |
(309) 663-4368 | |
(095) 245-3573 |
Full Name | Megan M Wallace |
---|---|
Gender | Female |
Speciality | Qualified Audiologist |
Experience | 13 Years |
Location | 2502 E Empire St, Bloomington, Illinois |
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 |
---|---|---|---|
1306192810 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
231H00000X | Audiologist | 147001429 (Illinois) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Christie Clinic, Llc | 7719899319 | 202 |
Provider Name | Christie Clinic, Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1871523829 PECOS PAC ID: 7719899319 Enrollment ID: O20031103000332 |
Provider Name | Rockford Health Physicians |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1043242886 PECOS PAC ID: 2567374036 Enrollment ID: O20031103000584 |
Provider Name | Illinois State University |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1669616983 PECOS PAC ID: 5597088492 Enrollment ID: O20141230000271 |
Mailing Address | Practice Location Address |
---|---|
Megan M Wallace, AUD 101 W University Ave, Champaign, IL 61820-3909 Ph: (815) 971-2000 | Megan M Wallace, AUD 2502 E Empire St, Bloomington, IL 61704-3738 Ph: (309) 663-4368 |
Lisa Baer, Audiologist Medicare: Not Enrolled in Medicare Practice Location: 1404 Eastland Dr Ste 209, Bloomington, IL 61701 Phone: 309-662-3277 Fax: 309-663-0845 | |
Megan C Kuhn, Audiologist Medicare: Not Enrolled in Medicare Practice Location: Campus Box 4720, Illinois State University, Bloomington, IL 61790 Phone: 309-438-8641 | |
Mrs. Deanna Marie Ginder-west, M.S., CCC-A Audiologist Medicare: Not Enrolled in Medicare Practice Location: 2101 Eastland Dr Ste F, Bloomington, IL 61704 Phone: 309-664-6200 | |
Mrs. Casey L Sepich, AUD Audiologist Medicare: Medicare Enrolled Practice Location: 1701 E College Ave, Bloomington, IL 61704 Phone: 309-664-3000 | |
Sara L Hanley, Audiologist Medicare: May Accept Medicare Assignments Practice Location: 816 S Eldorado Rd Ste 1, Bloomington, IL 61704 Phone: 309-662-8346 Fax: 309-662-0479 | |
Dr. Deborah S Pitcher, AUD Audiologist Medicare: Not Enrolled in Medicare Practice Location: 1404 Eastland Drive, Suite 203, Bloomington, IL 61701 Phone: 309-662-8346 Fax: 309-662-0479 |