Theodore E Mollerud, | |
2215 E Clairemont Ave, Suite 2, Eau Claire, WI 54701-4772 | |
(715) 831-0289 | |
(715) 831-4722 |
Full Name | Theodore E Mollerud |
---|---|
Gender | Male |
Speciality | Audiologist |
Location | 2215 E Clairemont Ave, Eau Claire, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770539827 | NPI | - | NPPES |
42813100 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
231H00000X | Audiologist | 30-156 (Wisconsin) | Primary |
Provider Name | Everclear Hearing Products |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1073991543 PECOS PAC ID: 4385911908 Enrollment ID: O20170601001174 |
Mailing Address | Practice Location Address |
---|---|
Theodore E Mollerud, 2215 E Clairemont Ave, Suite 2, Eau Claire, WI 54701-4772 Ph: (715) 831-0289 | Theodore E Mollerud, 2215 E Clairemont Ave, Suite 2, Eau Claire, WI 54701-4772 Ph: (715) 831-0289 |
Michele Suzanne Elkin, AU.D. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 900 W Clairemont Ave, Eau Claire, WI 54701 Phone: 715-717-4121 Fax: 715-717-1480 | |
Karen A Anderson, AUDIOLOGIST Audiologist Medicare: Medicare Enrolled Practice Location: 1221 Whipple St, Eau Claire, WI 54703 Phone: 715-838-5222 | |
Nicole Stephanie Smith, AU.D., CCC-A Audiologist Medicare: Accepting Medicare Assignments Practice Location: 2215 E Clairemont Ave, Suite 2, Eau Claire, WI 54701 Phone: 715-831-0289 Fax: 715-831-4722 | |
Rebecca A Bredl, AUD CCCA Audiologist Medicare: Accepting Medicare Assignments Practice Location: 2116 Craig Road, Eau Claire, WI 54701 Phone: 715-858-4747 | |
Amanda Rose Burg, AUD Audiologist Medicare: Not Enrolled in Medicare Practice Location: 733 W Clairemont Ave, Eau Claire, WI 54701 Phone: 715-838-5222 | |
Ashley Kathleen Lester Emmer, AUD Audiologist Medicare: Medicare Enrolled Practice Location: 1221 Whipple St, Eau Claire, WI 54703 Phone: 715-838-5222 | |
Shawna Sue Lee, AU.D. Audiologist Medicare: Accepting Medicare Assignments Practice Location: 900 W Clairemont Ave, Eau Claire, WI 54701 Phone: 715-717-6885 Fax: 175-717-6886 |