| Greylock Audiology Llc | |
|
510 North St, Suite 9, Pittsfield, MA 01201-5493 | |
| (413) 443-4800 | |
| (413) 442-9701 |
| Full Name | Greylock Audiology Llc |
|---|---|
| Type | Facility |
| Speciality | Audiologist |
| Location | 510 North St, Pittsfield, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811448228 | NPI | - | NPPES |
| 110119581A | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 231H00000X | Audiologist | 784 (Massachusetts) | Primary |
| Provider Name | Andrew Puttick |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1154531614 PECOS PAC ID: 8820176373 Enrollment ID: I20080423000590 |
| Provider Name | Trevor D Marcotte |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417313487 PECOS PAC ID: 2860780632 Enrollment ID: I20170906001558 |
| Mailing Address | Practice Location Address |
|---|---|
| Greylock Audiology Llc 510 North St, Suite 9, Pittsfield, MA 01201-5493 Ph: (413) 443-4800 | Greylock Audiology Llc 510 North St, Suite 9, Pittsfield, MA 01201-5493 Ph: (413) 443-4800 |
Nicole Diehl, AUD Audiologist Medicare: Not Enrolled in Medicare Practice Location: 195 South St, Pittsfield, MA 01201 Phone: 413-443-6116 Fax: 413-443-6116 | |
Dr. Ashley Clancy-gagnon, AUD Audiologist Medicare: Not Enrolled in Medicare Practice Location: 510 North St Ste 6, Pittsfield, MA 01201 Phone: 413-447-2225 | |
Dr. Anne Lee, AUD Audiologist Medicare: Medicare Enrolled Practice Location: 510 North St., Suite 6, Room 202, Pittsfield, MA 01201 Phone: 413-447-2225 | |
Naileen Aboul Momin, AU D Audiologist Medicare: Accepting Medicare Assignments Practice Location: 195 South St, Pittsfield, MA 01201 Phone: 413-443-6116 Fax: 413-443-9099 | |
Mr. Andrew Joseph Puttick, M.A., CCC-A, FAAA Audiologist Medicare: Accepting Medicare Assignments Practice Location: 510 North Street, Greylock Ear, Nose And Throat Associates, Pittsfield, MA 01201 Phone: 413-443-4800 Fax: 413-442-9701 | |
Candace Slack, Audiologist Medicare: Accepting Medicare Assignments Practice Location: 510 North St Ste 10, Pittsfield, MA 01201 Phone: 413-448-8291 | |
Dr. Allison Amend, AU.D. Audiologist Medicare: Medicare Enrolled Practice Location: 510 North St Ste 6, Pittsfield, MA 01201 Phone: 413-447-2225 Fax: 413-346-6798 |