Mr Mitch Smeding Wangsgard, is a
Audiologist based in O Fallon, Illinois. Mr Mitch Smeding Wangsgard is licensed to practice in Missouri (license number 2017025273) and his current practice location is
1415 W Highway 50, O Fallon, Illinois. He can be reached at his office (for appointments etc.) via phone at
(618) 624-4471.
NPI number for Mr Mitch Smeding Wangsgard is 1083139497 and his current mailing address is 1415 W Highway 50, O Fallon, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1083139497.
Healthcare Provider's Profile
Full Name | Mr Mitch Smeding Wangsgard |
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Gender | Male |
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Speciality | Audiologist |
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Location | 1415 W Highway 50, O Fallon, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1083139497
- Provider Enumeration Date: 08/07/2017
- Last Update Date: 08/07/2017
Medical Identifiers
Medical identifiers for Mr Mitch Smeding Wangsgard such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1083139497 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
231H00000X | Audiologist | 2017025273 (Missouri) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Mitch Smeding Wangsgard is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Mitch Smeding Wangsgard, 1415 W Highway 50, O Fallon, IL 62269-1618 Ph: (801) 603-0065 | Mr Mitch Smeding Wangsgard, 1415 W Highway 50, O Fallon, IL 62269-1618 Ph: (618) 624-4471 |
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