| Ms Julie A Wirth, AUDIOLOGIST | |
|
611 W Park St, Urbana, IL 61801-2500 | |
| (217) 383-4375 | |
| (217) 326-2336 |
| Full Name | Ms Julie A Wirth |
|---|---|
| Gender | Female |
| Speciality | Audiologist |
| Location | 611 W Park St, Urbana, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265658108 | NPI | - | NPPES |
| 203 | Other | IL | BLUE CROSS PROV ID |
| 113326 | Other | HEALTHLINK PROV ID | |
| 4117 | Other | IL | HAMP PROVIDER ID |
| 371119538401 | Medicaid | IL | |
| 7216 | Other | PERSONALCARE PROV ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 231H00000X | Audiologist | 147000912 (Illinois) | Primary |
| Provider Name | Carle Health Care Incorporated |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1154653947 PECOS PAC ID: 3577515774 Enrollment ID: O20100513000829 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Julie A Wirth, AUDIOLOGIST 611 West Park St., Fapc, Urbana, IL 61801 Ph: () - | Ms Julie A Wirth, AUDIOLOGIST 611 W Park St, Urbana, IL 61801-2500 Ph: (217) 383-4375 |
Ms. Danielle Edmondson, AUDIOLOGIST Audiologist Medicare: Not Enrolled in Medicare Practice Location: 810 W University Ave, Urbana, IL 61801 Phone: 217-326-2911 Fax: 217-344-8047 | |
Mrs. Judith Ann Iversen, M.A Audiologist Medicare: Not Enrolled in Medicare Practice Location: 709 W University Ave, Urbana, IL 61801 Phone: 217-383-3197 Fax: 217-383-3153 | |
Joanna Capobianco, AUD Audiologist Medicare: Not Enrolled in Medicare Practice Location: 602 W University Ave, Urbana, IL 61801 Phone: 217-383-3130 | |
Ms. Lee A Rotz, MA CCC-A, FAAA Audiologist Medicare: Not Enrolled in Medicare Practice Location: 611 W Park St, Urbana, IL 61801 Phone: 217-383-4375 Fax: 217-326-2336 | |
Tara Iddings, AU.D., CCC-A Audiologist Medicare: Accepting Medicare Assignments Practice Location: 602 W University Ave, Urbana, IL 61801 Phone: 217-383-3311 | |
Lisa R Gibbs, AUD Audiologist Medicare: Medicare Enrolled Practice Location: 611 W. Park St., Audiology, Urbana, IL 61801 Phone: 217-383-3130 |