Theresa S Delacenserie, | |
1555 44th St Sw, Wyoming, MI 49509-4313 | |
(616) 888-3240 | |
Not Available |
Full Name | Theresa S Delacenserie |
---|---|
Gender | Female |
Speciality | Audiologist |
Location | 1555 44th St Sw, Wyoming, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477585479 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
231H00000X | Audiologist | 147001192 (Illinois) | Secondary |
231H00000X | Audiologist | 1601001097 (Michigan) | Primary |
Provider Name | Northshore University Healthsystem Faculty Practice Associates |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1497701882 PECOS PAC ID: 2163334699 Enrollment ID: O20040524000118 |
Mailing Address | Practice Location Address |
---|---|
Theresa S Delacenserie, 1555 44th St Sw, Wyoming, MI 49509-4313 Ph: (616) 888-3240 | Theresa S Delacenserie, 1555 44th St Sw, Wyoming, MI 49509-4313 Ph: (616) 888-3240 |
Dr. Susanna Love Callaway, AU.D., CCC-A Audiologist Medicare: Not Enrolled in Medicare Practice Location: 1555 44th St Sw, Wyoming, MI 49509 Phone: 616-249-8000 Fax: 616-249-8088 | |
Dr. Karen Renee Michaud, AU.D. Audiologist Medicare: Accepting Medicare Assignments Practice Location: 1555 44th St Sw, Wyoming, MI 49509 Phone: 616-249-8000 Fax: 616-249-8088 | |
Monika B Graef, MA Audiologist Medicare: Not Enrolled in Medicare Practice Location: 2660 44th St Sw, Ste 400, Wyoming, MI 49519 Phone: 616-530-8100 Fax: 616-530-8855 | |
Dr. Rebecca Ann Kaczmarski, AU.D. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 1740 44th St Sw, Suite #2, Wyoming, MI 49519 Phone: 616-538-8220 Fax: 616-538-8991 | |
Joni Voss, Audiologist Medicare: Not Enrolled in Medicare Practice Location: 1555 44th St Sw, Wyoming, MI 49509 Phone: 616-249-8000 | |
Dr. Danielle Ann Northrup, AUD Audiologist Medicare: Accepting Medicare Assignments Practice Location: 1555 44th St Sw, Wyoming, MI 49509 Phone: 616-249-8000 |