Shane Prondzinski, is a
Audiologist based in Kronenwetter, Wisconsin. Shane Prondzinski is licensed to practice in * (Not Available) (license number ) and his current practice location is
2051 Rollingwood Rd, Kronenwetter, Wisconsin. He can be reached at his office (for appointments etc.) via phone at
(715) 571-5404.
NPI number for Shane Prondzinski is 1841745635 and his current mailing address is 2051 Rollingwood Rd, Kronenwetter, Wisconsin. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1841745635.
Healthcare Provider's Profile
| Full Name | Shane Prondzinski |
|---|
| Gender | Male |
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| Speciality | Audiologist |
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| Location | 2051 Rollingwood Rd, Kronenwetter, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1841745635
- Provider Enumeration Date: 08/22/2016
- Last Update Date: 08/22/2016
Medical Identifiers
Medical identifiers for Shane Prondzinski such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1841745635 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 231H00000X | Audiologist | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shane Prondzinski is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Shane Prondzinski,
2051 Rollingwood Rd,
Kronenwetter, WI 54455-9018
Ph: () - | Shane Prondzinski,
2051 Rollingwood Rd,
Kronenwetter, WI 54455-9018
Ph: (715) 571-5404 |
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