Professional Hearing Services, Ltd | |
511 Renaissance Dr, Ste 100, Saint Joseph, MI 49085-2180 | |
(269) 982-3444 | |
(269) 982-3445 |
Full Name | Professional Hearing Services, Ltd |
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Type | Facility |
Speciality | Audiologist |
Location | 511 Renaissance Dr, Saint Joseph, Michigan |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396703971 | NPI | - | NPPES |
640A126030 | Other | BLUE CROSS BLUE SHIELD MI | |
0A12603 | Other | MI | MEDICARE ADVANTAGE BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
231H00000X | Audiologist | (* (Not Available)) | Primary |
Provider Name | Gyl A. Kasewurm |
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Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1811991771 PECOS PAC ID: 6305011289 Enrollment ID: I20111205000048 |
Provider Name | Terry Mcilvaine |
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Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1043505233 PECOS PAC ID: 9739349069 Enrollment ID: I20120331000043 |
Mailing Address | Practice Location Address |
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Professional Hearing Services, Ltd 511 Renaissance Dr, Ste 100, Saint Joseph, MI 49085-2180 Ph: (269) 982-3444 | Professional Hearing Services, Ltd 511 Renaissance Dr, Ste 100, Saint Joseph, MI 49085-2180 Ph: (269) 982-3444 |
Grady Hilge, AU.D. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 511 Renaissance Dr Ste 100, Saint Joseph, MI 49085 Phone: 269-982-3444 | |
Ms. Cathleen A Burns, MA, CCC-A Audiologist Medicare: Accepting Medicare Assignments Practice Location: 2680 S Cleveland Ave, Saint Joseph, MI 49085 Phone: 269-982-3368 | |
Mrs. Gyl A. Kasewurm, AUD, FAAA Audiologist Medicare: Accepting Medicare Assignments Practice Location: 511 Renaissance Dr, Ste 100, Saint Joseph, MI 49085 Phone: 269-982-3444 Fax: 269-982-3445 | |
Hannah Barclay Reeg, AU.D. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 511 Renaissance Dr Ste 100, Saint Joseph, MI 49085 Phone: 269-982-3444 |