Dr Lynnette B Bardolf, PHD | |
301 Andrews Avenue, Fort Rucker, AL 36362 | |
(334) 255-7387 | |
Not Available |
Full Name | Dr Lynnette B Bardolf |
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Gender | Female |
Speciality | Audiologist |
Location | 301 Andrews Avenue, Fort Rucker, Alabama |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326117367 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
231H00000X | Audiologist | 826A (Alabama) | Primary |
Provider Name | 360care Services Of Al Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1710493176 PECOS PAC ID: 7719240977 Enrollment ID: O20180423000351 |
Mailing Address | Practice Location Address |
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Dr Lynnette B Bardolf, PHD 317 Gateway Dr, Enterprise, AL 36330-7811 Ph: (334) 347-3906 | Dr Lynnette B Bardolf, PHD 301 Andrews Avenue, Fort Rucker, AL 36362 Ph: (334) 255-7387 |
Dr. Robert N. Staton, AU.D. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 301 Andrews Ave., Fort Rucker, AL 36362 Phone: 334-255-6010 | |
Janet P Andrews, AUD Audiologist Medicare: Medicare Enrolled Practice Location: 301 Andrews Ave., Fort Rucker, AL 36362 Phone: 334-255-7192 | |
Stephanie J Karch, AU.D., PH.D. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 6901 Farrel Rd, Fort Rucker, AL 36362 Phone: 202-651-5000 | |
Ms. Kristen Lee Casto, AUD/PHD Audiologist Medicare: Not Enrolled in Medicare Practice Location: 301 Andrews Ave., Lyster Army Health Clinic, Fort Rucker, AL 36362 Phone: 334-255-6881 |