Stacey D Dimond, AUD | |
1440 Oneida St, N, Appleton, WI 54915-7101 | |
(920) 731-9579 | |
Not Available |
Full Name | Stacey D Dimond |
---|---|
Gender | Female |
Speciality | Qualified Audiologist |
Experience | 15 Years |
Location | 1440 Oneida St, Appleton, Wisconsin |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861725418 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
231H00000X | Audiologist | 8548 (Minnesota) | Secondary |
231H00000X | Audiologist | 578-156 (Wisconsin) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Audiology Concepts Llc | 9830469766 | 10 |
Provider Name | Audiology Concepts Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1710413547 PECOS PAC ID: 9830469766 Enrollment ID: O20170725003036 |
Mailing Address | Practice Location Address |
---|---|
Stacey D Dimond, AUD 1960 Oakview Dr, Neenah, WI 54956-1744 Ph: (651) 285-2205 | Stacey D Dimond, AUD 1440 Oneida St, N, Appleton, WI 54915-7101 Ph: (920) 731-9579 |
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