| Anne Maynard, | |
|
21000 E 12 Mile Rd Ste 111, Saint Clair Shores, MI 48081-1156 | |
| (586) 779-7610 | |
| Not Available |
| Full Name | Anne Maynard |
|---|---|
| Gender | Female |
| Speciality | Audiologist |
| Location | 21000 E 12 Mile Rd Ste 111, Saint Clair Shores, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306852090 | NPI | - | NPPES |
| 540E016260 | Other | MI | BXBSM |
| 4670383 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 231H00000X | Audiologist | (* (Not Available)) | Primary |
| Provider Name | Ascension St John Hospital |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1043478910 PECOS PAC ID: 3173424082 Enrollment ID: O20040115000409 |
| Provider Name | Ascension Medical Group Michigan |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1114133485 PECOS PAC ID: 0648180406 Enrollment ID: O20081015000289 |
| Mailing Address | Practice Location Address |
|---|---|
| Anne Maynard, 21000 E 12 Mile Rd Ste 111, Saint Clair Shores, MI 48081-1156 Ph: (586) 779-7610 | Anne Maynard, 21000 E 12 Mile Rd Ste 111, Saint Clair Shores, MI 48081-1156 Ph: (586) 779-7610 |
Dr. Alexandra C Dadich, AUD Audiologist Medicare: Accepting Medicare Assignments Practice Location: 21603 E 11 Mile Rd, Saint Clair Shores, MI 48081 Phone: 248-569-5985 | |
Ryan Michael Benninger, AU.D., CCC-A Audiologist Medicare: Medicare Enrolled Practice Location: 21000 E 12 Mile Rd Ste 111, Saint Clair Shores, MI 48081 Phone: 586-779-7610 | |
St. John Hospital And Medical Center Audiologist Medicare: Not Enrolled in Medicare Practice Location: 21000 E 12 Mile Rd, Suite 111, Saint Clair Shores, MI 48081 Phone: 586-779-7610 Fax: 586-779-1391 | |
Audionet America - St Clair Shores Llc Audiologist Medicare: Not Enrolled in Medicare Practice Location: 22631 Greater Mack Ave, Suite 100, Saint Clair Shores, MI 48080 Phone: 586-252-2914 Fax: 586-252-2918 | |
Mr. Aaron T Gale, Audiologist Medicare: Medicare Enrolled Practice Location: 21000 E 12 Mile Rd, Suite 111, Saint Clair Shores, MI 48081 Phone: 586-779-7610 | |
Jaclyn Marie Sommerville, AU.D, CCC-A Audiologist Medicare: Accepting Medicare Assignments Practice Location: 23233 Nine Mack Dr, Saint Clair Shores, MI 48080 Phone: 586-498-5000 Fax: 844-273-2104 |