| Melissa Lynn Clark, AUD | |
|
69 Allen St Ste 1, Rutland, VT 05701-4564 | |
| (802) 775-3315 | |
| (802) 775-9617 |
| Full Name | Melissa Lynn Clark |
|---|---|
| Gender | Female |
| Speciality | Audiologist |
| Location | 69 Allen St Ste 1, Rutland, Vermont |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902336753 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 231H00000X | Audiologist | 0123131 (Vermont) | Primary |
| Provider Name | Porter Hospital Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1134457013 PECOS PAC ID: 1850365180 Enrollment ID: O20050919000862 |
| Mailing Address | Practice Location Address |
|---|---|
| Melissa Lynn Clark, AUD 160 Allen Street, Medical Staff Office, Rutland, VT 05701-4650 Ph: (802) 747-3639 | Melissa Lynn Clark, AUD 69 Allen St Ste 1, Rutland, VT 05701-4564 Ph: (802) 775-3315 |
Dr. Robert W Hartenstein, AU.D. Audiologist Medicare: Accepting Medicare Assignments Practice Location: 69 Allen St, Ste 2, Rutland, VT 05701 Phone: 802-773-8469 Fax: 802-773-0017 | |
Kathleen S Johnson, CCC-A Audiologist Medicare: Not Enrolled in Medicare Practice Location: 69 Allen St, Suite 1, Rutland, VT 05701 Phone: 802-775-3314 Fax: 802-775-9617 | |
Mitchell B Kramer, PHD Audiologist Medicare: Not Enrolled in Medicare Practice Location: 69 Allen St, Suite 1, Rutland, VT 05701 Phone: 802-775-3314 Fax: 802-775-9617 | |
Ms. Barbara Claire Kirk, MA CCC-A Audiologist Medicare: Medicare Enrolled Practice Location: 88 Park St, Rutland, VT 05701 Phone: 802-775-2395 Fax: 802-773-9656 | |
Courtney Lee Connolly, AU.D. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 160 Allen St, Rutland, VT 05701 Phone: 802-775-3314 | |
Audiology Associates, Inc Audiologist Medicare: Not Enrolled in Medicare Practice Location: 69 Allen St Ste 2, Rutland, VT 05701 Phone: 802-773-8469 Fax: 802-773-0017 | |
Philip Brendon Alquiza Sanchez, AUD Audiologist Medicare: Not Enrolled in Medicare Practice Location: 69 Allen St Ste 3, Rutland, VT 05701 Phone: 802-775-3314 |