Sydney Mecham, AUD | |
172 2nd St S, Nampa, ID 83651-3708 | |
(208) 385-3620 | |
Not Available |
Full Name | Sydney Mecham |
---|---|
Gender | Female |
Speciality | Audiologist |
Location | 172 2nd St S, Nampa, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548908023 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
231H00000X | Audiologist | (* (Not Available)) | Secondary |
231H00000X | Audiologist | AUD-5334 (Idaho) | Primary |
Provider Name | St Lukes Clinic-treasure Valley Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1326336058 PECOS PAC ID: 4981878402 Enrollment ID: O20111119000045 |
Mailing Address | Practice Location Address |
---|---|
Sydney Mecham, AUD 190 E Bannock St, Boise, ID 83712-6241 Ph: () - | Sydney Mecham, AUD 172 2nd St S, Nampa, ID 83651-3708 Ph: (208) 385-3620 |
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Jordan Patrick Bellucci, AUD Audiologist Medicare: Accepting Medicare Assignments Practice Location: 172 2nd St S, Nampa, ID 83651 Phone: 208-385-3260 | |
Dana Koltenuk Gladd, AU.D. Audiologist Medicare: Accepting Medicare Assignments Practice Location: 172 2nd St S, Nampa, ID 83651 Phone: 208-489-5950 | |
Larissa Mann, AU.D. Audiologist Medicare: Medicare Enrolled Practice Location: 172 2nd St S, Nampa, ID 83651 Phone: 208-489-5950 | |
Dr. Laurie C Stucki, AU.D. Audiologist Medicare: Accepting Medicare Assignments Practice Location: 172 2nd St S, Nampa, ID 83651 Phone: 208-385-3620 Fax: 208-385-3621 |