| |
427 Jane Ave, Union, MO 63084-1907 | |
(636) 583-4902 | |
(636) 583-4925 |
Full Name | |
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Type | Facility |
Speciality | Audiologist |
Location | 427 Jane Ave, Union, Missouri |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265754279 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
231H00000X | Audiologist | 2002021117 (Missouri) | Primary |
Provider Name | Cynthia A Modrosic |
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Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1801068077 PECOS PAC ID: 6305913146 Enrollment ID: I20080922000126 |
Mailing Address | Practice Location Address |
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427 Jane Ave, Union, MO 63084-1907 Ph: (636) 583-4902 | 427 Jane Ave, Union, MO 63084-1907 Ph: (636) 583-4902 |
Mrs. Elizabeth Ann Wilmesherr, MA, F-AAA Audiologist Medicare: Not Enrolled in Medicare Practice Location: 102 N Church St, Union, MO 63084 Phone: 636-583-4902 Fax: 636-583-4925 | |
Cynthia Ann Modrosic, MA, MS Audiologist Medicare: Accepting Medicare Assignments Practice Location: 427 Jane Ave, Union, MO 63084 Phone: 636-583-4902 Fax: 636-583-4925 |