| Alyssa Marie Canosa, AUD | |
|
826 Main St Ste 201, Phoenixville, PA 19460-4459 | |
| (610) 415-1100 | |
| (610) 415-1101 |
| Full Name | Alyssa Marie Canosa |
|---|---|
| Gender | Female |
| Speciality | Audiologist |
| Location | 826 Main St Ste 201, Phoenixville, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952832685 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 231H00000X | Audiologist | AT006485 (Pennsylvania) | Primary |
| Provider Name | Special Care Hearing Of Pennsylvania, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1124445424 PECOS PAC ID: 7517285620 Enrollment ID: O20150421000342 |
| Mailing Address | Practice Location Address |
|---|---|
| Alyssa Marie Canosa, AUD 460 Creamery Way, Ste 103, Exton, PA 19341-2533 Ph: (610) 415-1100 | Alyssa Marie Canosa, AUD 826 Main St Ste 201, Phoenixville, PA 19460-4459 Ph: (610) 415-1100 |
Dr. Colleen O'donnell, AUD, CCC/A Audiologist Medicare: Accepting Medicare Assignments Practice Location: 826 Main St, Suite 201, Phoenixville, PA 19460 Phone: 610-415-1100 | |
Shannon Dailey, AUD Audiologist Medicare: Accepting Medicare Assignments Practice Location: 826 Main St Ste 201, Phoenixville, PA 19460 Phone: 610-415-1100 | |
Marilyn Goldman, Audiologist Medicare: Not Enrolled in Medicare Practice Location: 824 Main St, Suite 201, Phoenixville, PA 19460 Phone: 610-415-1100 Fax: 610-415-1101 | |
Jennifer Isayev, AUDIOLOGIST Audiologist Medicare: May Accept Medicare Assignments Practice Location: 826 Main St, Suite 201, Phoenixville, PA 19460 Phone: 610-415-1100 Fax: 610-415-1101 | |
Dr. Katherine Elizabeth Ruoff, AUD Audiologist Medicare: Not Enrolled in Medicare Practice Location: 826 Main St Ste 201, Phoenixville, PA 19460 Phone: 610-415-1100 | |
Audrey Small, AUDIOLOGIST Audiologist Medicare: Accepting Medicare Assignments Practice Location: 826 Main St, Suite 201, Phoenixville, PA 19460 Phone: 610-415-1100 Fax: 610-415-1101 | |
Lauri Mencken, AUDIOLOGIST Audiologist Medicare: Accepting Medicare Assignments Practice Location: 824 Main St, Suite 201, Phoenixville, PA 19460 Phone: 610-415-1100 Fax: 610-415-1101 |