Mrs Ivanna Tali Rotman, | |
1311 E Central Dr, Meridian, ID 83642-7991 | |
(208) 282-4636 | |
Not Available |
Full Name | Mrs Ivanna Tali Rotman |
---|---|
Gender | Female |
Speciality | Audiologist |
Location | 1311 E Central Dr, Meridian, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447097456 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
231H00000X | Audiologist | AUD-6054 (Idaho) | Primary |
Provider Name | Audiology Services Company Usa Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1033585302 PECOS PAC ID: 9032414701 Enrollment ID: O20170307002269 |
Mailing Address | Practice Location Address |
---|---|
Mrs Ivanna Tali Rotman, 2832 E Red Fir Ct, Boise, ID 83716-7102 Ph: (208) 761-8330 | Mrs Ivanna Tali Rotman, 1311 E Central Dr, Meridian, ID 83642-7991 Ph: (208) 282-4636 |
Dr. Shannon Gower, AU.D. Audiologist Medicare: Accepting Medicare Assignments Practice Location: 520 S Eagle Rd Ste 1225, Meridian, ID 83642 Phone: 208-489-5999 Fax: 208-489-4089 | |
Strickland Ear Clinic Pc Audiologist Medicare: Medicare Enrolled Practice Location: 1516 W Cayuse Creek Dr Ste 100, Meridian, ID 83646 Phone: 208-375-4327 Fax: 208-965-8227 | |
Maria Lynn Fisher, AU.D. Audiologist Medicare: Medicare Enrolled Practice Location: 520 S Eagle Rd Ste 1225, Meridian, ID 83642 Phone: 208-385-3560 Fax: 208-385-3561 | |
Bailey Neuhaus, AUD Audiologist Medicare: Accepting Medicare Assignments Practice Location: 520 S Eagle Rd Ste 1225, Meridian, ID 83642 Phone: 208-385-3560 | |
Ms. April L Fagerson, M.A. Audiologist Medicare: Accepting Medicare Assignments Practice Location: 520 S Eagle Rd, St 1225, Meridian, ID 83642 Phone: 208-489-5999 |