Mrs Anna Marie Taravella, MS | |
1701 E College Ave, Bloomington, IL 61704-2101 | |
(309) 664-3010 | |
Not Available |
Full Name | Mrs Anna Marie Taravella |
---|---|
Gender | Female |
Speciality | Audiologist |
Location | 1701 E College Ave, Bloomington, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467543181 | NPI | - | NPPES |
IL2613 | Other | IL | MEDICARE GROUP PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
231H00000X | Audiologist | 147.000942 (Illinois) | Primary |
237600000X | Audiologist-hearing Aid Fitter | 147.000942 (Illinois) | Secondary |
Provider Name | Osf Multi-specialty Group |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279 |
Mailing Address | Practice Location Address |
---|---|
Mrs Anna Marie Taravella, MS 1701 E College Ave, Bloomington, IL 61704-2101 Ph: (309) 664-3010 | Mrs Anna Marie Taravella, MS 1701 E College Ave, Bloomington, IL 61704-2101 Ph: (309) 664-3010 |
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 | |
Megan M Wallace, AU.D. Audiologist Medicare: Accepting Medicare Assignments Practice Location: 2502 E Empire St, Bloomington, IL 61704 Phone: 309-663-4368 Fax: 095-245-3573 | |
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 |