Mrs Carissa Kucala, AUD | |
3800 Park Nicollet Blvd, St Louis Park, MN 55416-2527 | |
(952) 993-1478 | |
(952) 993-1250 |
Full Name | Mrs Carissa Kucala |
---|---|
Gender | Female |
Speciality | Qualified Audiologist |
Experience | 13 Years |
Location | 3800 Park Nicollet Blvd, St Louis Park, Minnesota |
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 |
---|---|---|---|
1831480607 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
231H00000X | Audiologist | 8610 (Minnesota) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Park Nicollet Clinic | 7911819438 | 1530 |
Provider Name | Park Nicollet Clinic |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1780621904 PECOS PAC ID: 7911819438 Enrollment ID: O20031104000046 |
Mailing Address | Practice Location Address |
---|---|
Mrs Carissa Kucala, AUD 3800 Park Nicollet Blvd, St Louis Park, MN 55416-2527 Ph: (952) 993-1478 | Mrs Carissa Kucala, AUD 3800 Park Nicollet Blvd, St Louis Park, MN 55416-2527 Ph: (952) 993-1478 |
Mr. Jeffery Allen Dodds, CCC-A Audiologist Medicare: Accepting Medicare Assignments Practice Location: 3800 Park Nicollet Blvd, St Louis Park, MN 55416 Phone: 952-993-1250 | |
Jennifer Marie Lien, MA Audiologist Medicare: Not Enrolled in Medicare Practice Location: 3800 Park Nicollet Blvd, St Louis Park, MN 55416 Phone: 952-993-3886 Fax: 952-993-1250 | |
Randi Rankl, Audiologist Medicare: Not Enrolled in Medicare Practice Location: 3800 Park Nicollet Blvd Ste 550, St Louis Park, MN 55416 Phone: 952-993-1880 | |
Ms. Katrina Joy Bruemmer Balvance, MA Audiologist Medicare: Not Enrolled in Medicare Practice Location: 3800 Park Nicollet Blvd, St Louis Park, MN 55416 Phone: 952-993-1880 | |
Kiersten Steinke, AU.D. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 6099 Wayzata Blvd, St Louis Park, MN 55416 Phone: 952-232-4835 | |
Mrs. Janene Marie Widen, CCC-A Audiologist Medicare: Accepting Medicare Assignments Practice Location: 3800 Park Nicollet Blvd, St Louis Park, MN 55416 Phone: 952-993-1250 | |
Claire Coote, AU.D., CCC-A Audiologist Medicare: Accepting Medicare Assignments Practice Location: 6099 Wayzata Blvd, Xchange Medical Building, Ste 200, St Louis Park, MN 55416 Phone: 612-871-1144 Fax: 865-544-5816 |