| |
19110 Montgomery Village Ave, #120, Montgomery Village, MD 20886-3702 | |
(301) 977-6317 | |
(301) 977-8504 |
Full Name | |
---|---|
Type | Facility |
Speciality | Audiologist |
Location | 19110 Montgomery Village Ave, Montgomery Village, Maryland |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174856322 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
231H00000X | Audiologist | (* (Not Available)) | Primary |
Provider Name | Ross E Cushing |
---|---|
Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1962455618 PECOS PAC ID: 9032135686 Enrollment ID: I20070726000815 |
Provider Name | Jenifer W Cushing |
---|---|
Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1710933577 PECOS PAC ID: 2466557061 Enrollment ID: I20081110000315 |
Provider Name | Cindy L Leeb |
---|---|
Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1053783183 PECOS PAC ID: 3870893233 Enrollment ID: I20151231001756 |
Provider Name | Shannon C Wrabel |
---|---|
Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1649443094 PECOS PAC ID: 9638337876 Enrollment ID: I20170907003208 |
Provider Name | Daniel Eisenberg |
---|---|
Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1093376915 PECOS PAC ID: 8729416185 Enrollment ID: I20200317002604 |
Provider Name | Casey Gaskins |
---|---|
Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1043809668 PECOS PAC ID: 9537574470 Enrollment ID: I20210226001034 |
Provider Name | Lauren N Wright |
---|---|
Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1326716465 PECOS PAC ID: 2961808381 Enrollment ID: I20210910001232 |
Provider Name | Adam D Alamillo |
---|---|
Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1821699414 PECOS PAC ID: 2365854908 Enrollment ID: I20220517001859 |
Provider Name | Glenn A Elms |
---|---|
Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1417620329 PECOS PAC ID: 1658769245 Enrollment ID: I20221121000440 |
Provider Name | Erin Roach |
---|---|
Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1225644214 PECOS PAC ID: 7113371790 Enrollment ID: I20230930000597 |
Provider Name | Claudia Pastorelli |
---|---|
Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1811221120 PECOS PAC ID: 8123164456 Enrollment ID: I20231213000038 |
Mailing Address | Practice Location Address |
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19110 Montgomery Village Ave, #120, Montgomery Village, MD 20886-3702 Ph: (301) 977-6317 | 19110 Montgomery Village Ave, #120, Montgomery Village, MD 20886-3702 Ph: (301) 977-6317 |
Dr. Ross E Cushing, AU.D. Audiologist Medicare: Medicare Enrolled Practice Location: 19110 Montgomery Village Ave 120, Montgomery Village, MD 20886 Phone: 301-977-6317 Fax: 301-977-8503 |