Shelley R Moats, AUD | |
1050 E Market St Ste 1, Louisville, KY 40206-1874 | |
(502) 588-9587 | |
(502) 588-9580 |
Full Name | Shelley R Moats |
---|---|
Gender | Female |
Speciality | Audiologist |
Location | 1050 E Market St Ste 1, Louisville, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851384168 | NPI | - | NPPES |
50009966 | Other | KY | PASSPORT |
200864840 | Medicaid | IN | |
70001268 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
231H00000X | Audiologist | 0465 (Kentucky) | Secondary |
237600000X | Audiologist-hearing Aid Fitter | 100528 (Kentucky) | Secondary |
231H00000X | Audiologist | 101740 (Kentucky) | Primary |
Provider Name | Norton Childrens Medical Group Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1457999096 PECOS PAC ID: 3779917596 Enrollment ID: O20200102000758 |
Mailing Address | Practice Location Address |
---|---|
Shelley R Moats, AUD Po Box 776879, Chicago, IL 60677-6879 Ph: (502) 588-9490 | Shelley R Moats, AUD 1050 E Market St Ste 1, Louisville, KY 40206-1874 Ph: (502) 588-9587 |
Fawn E. Wujick, M.S. Audiologist Medicare: Medicare Enrolled Practice Location: 13403 Forest Springs Dr, Louisville, KY 40245 Phone: 502-693-1449 Fax: 188-851-1026 | |
Special Care Hearing Of Kentucky Llc Audiologist Medicare: Medicare Enrolled Practice Location: 12910 Shelbyville Rd, Louisville, KY 40243 Phone: 855-259-9183 Fax: 502-254-4069 | |
Mark Jeffrey Hales, MA CCC-A Audiologist Medicare: Not Enrolled in Medicare Practice Location: 4004 Dupont Cir, Ste 220, Louisville, KY 40207 Phone: 502-893-0159 | |
Brittany Ann Brose, AUD Audiologist Medicare: Accepting Medicare Assignments Practice Location: 401 E Chestnut St, Suite 710, Louisville, KY 40202 Phone: 502-583-8303 | |
Mr. Eric Scott Cahill, MS CCC-A Audiologist Medicare: Not Enrolled in Medicare Practice Location: 982 Eastern Pkwy, Building B, Louisville, KY 40217 Phone: 502-595-4459 | |
Special Care Hearing Of Indiana Llc Audiologist Medicare: Not Enrolled in Medicare Practice Location: 12910 Shelbyville Rd, Louisville, KY 40243 Phone: 855-259-9183 Fax: 502-254-4086 | |
Deanna S Brown, MS Audiologist Medicare: Not Enrolled in Medicare Practice Location: 2944 Breckenridge Ln, Louisville, KY 40220 Phone: 502-893-0159 Fax: 502-213-3892 |