Wendy Wallach-delucia, MS | |
107 Newtown Rd, 2a, Danbury, CT 06810-4146 | |
(203) 830-4700 | |
(203) 730-4166 |
Full Name | Wendy Wallach-delucia |
---|---|
Gender | Female |
Speciality | Audiologist |
Location | 107 Newtown Rd, Danbury, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164422903 | NPI | - | NPPES |
004145464 | Medicaid | CT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
231H00000X | Audiologist | 000273 (Connecticut) | Primary |
Provider Name | Advanced Specialty Care, P.c. |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1053340943 PECOS PAC ID: 2567353121 Enrollment ID: O20040323000757 |
Mailing Address | Practice Location Address |
---|---|
Wendy Wallach-delucia, MS 107 Newtown Rd, 2a, Danbury, CT 06810-4146 Ph: (203) 830-4700 | Wendy Wallach-delucia, MS 107 Newtown Rd, 2a, Danbury, CT 06810-4146 Ph: (203) 830-4700 |
Mrs. Jennifer Elena Donath, CCC-A, AUD Audiologist Medicare: Medicare Enrolled Practice Location: 107 Newtown Rd Ste 2a, Danbury, CT 06810 Phone: 203-830-4700 Fax: 203-730-4165 | |
Olivia Lynn Mitchell, AU.D. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 107 Newtown Rd Ste 2a, Danbury, CT 06810 Phone: 203-830-4700 Fax: 203-730-4166 | |
Arthur Tepper, AU.D. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 107 Newtown Rd, 2a, Danbury, CT 06810 Phone: 203-830-4700 Fax: 203-730-4166 | |
Jocelyn Dore, AU.D. Audiologist Medicare: Medicare Enrolled Practice Location: 107 Newtown Rd, Suite 2a, Danbury, CT 06810 Phone: 203-830-4700 Fax: 203-730-4166 | |
Jenell Douglas, AUD Audiologist Medicare: Medicare Enrolled Practice Location: 107 Newtown Rd Ste 2a, Danbury, CT 06810 Phone: 203-830-4700 Fax: 203-730-4165 | |
Debra K Heckmann, M.A. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 107 Newtown Road, Suite 2a, Danbury, CT 06810 Phone: 203-830-4700 Fax: 203-730-4166 |