| Travis Duane Quiller, AUD | |
|
10021 Dupont Circle Ct, Fort Wayne, IN 46825-1604 | |
| (260) 426-8117 | |
| (260) 420-0817 |
| Full Name | Travis Duane Quiller |
|---|---|
| Gender | Male |
| Speciality | Audiologist |
| Location | 10021 Dupont Circle Ct, Fort Wayne, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679736680 | NPI | - | NPPES |
| 300089169 | Medicaid | IN |
| Provider Name | Ent & Audiology Associates Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1629046479 PECOS PAC ID: 7113996141 Enrollment ID: O20080428000394 |
| Mailing Address | Practice Location Address |
|---|---|
| Travis Duane Quiller, AUD 10021 Dupont Circle Ct, Fort Wayne, IN 46825-1604 Ph: (260) 426-8117 | Travis Duane Quiller, AUD 10021 Dupont Circle Ct, Fort Wayne, IN 46825-1604 Ph: (260) 426-8117 |
Sarah Delaney, AUD Audiologist Medicare: Accepting Medicare Assignments Practice Location: 130 W Main St Ste 150, Fort Wayne, IN 46802 Phone: 260-602-3276 | |
Lisa A Greenway, MA Audiologist Medicare: Accepting Medicare Assignments Practice Location: 8806 Coldwater Rd, Fort Wayne, IN 46825 Phone: 260-482-4327 Fax: 260-482-4320 | |
Mark P Carter, MA Audiologist Medicare: Not Enrolled in Medicare Practice Location: 1306 Apple Glen Blvd, Fort Wayne, IN 46804 Phone: 260-459-6924 Fax: 260-459-6200 | |
Madison K Ziegel, AUD Audiologist Medicare: Not Enrolled in Medicare Practice Location: 10021 Dupont Circle Ct, Fort Wayne, IN 46825 Phone: 260-426-8117 Fax: 260-420-0817 | |
Sarah E. Miner, AUD Audiologist Medicare: Accepting Medicare Assignments Practice Location: 5411 Meijer Dr, Fort Wayne, IN 46835 Phone: 260-469-6919 | |
Alyssa Kindred Rex, AUD Audiologist Medicare: Not Enrolled in Medicare Practice Location: 10021 Dupont Circle Court, Fort Wayne, IN 46825 Phone: 260-426-8117 Fax: 260-420-7283 | |
Nancy Sue Lewis, M.A., CCC-A Audiologist Medicare: Not Enrolled in Medicare Practice Location: 12101 Lima Rd, Fort Wayne, IN 46818 Phone: 260-637-3166 |