| Bethany Lee Walden, AUD | |
|
21216 Olean Blvd Ste 4, Port Charlotte, FL 33952-6722 | |
| (941) 766-8886 | |
| (941) 766-8804 |
| Full Name | Bethany Lee Walden |
|---|---|
| Gender | Female |
| Speciality | Audiologist |
| Location | 21216 Olean Blvd Ste 4, Port Charlotte, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295821346 | NPI | - | NPPES |
| 204102500 | Other | FL | U.S. DEPT OF LABOR |
| S0808 | Other | FL | BLUE CROSS/BLUE SHIELD |
| 600341900 | Medicaid | FL | |
| 2667047 | Other | FL | AETNA |
| 640004249 | Other | FL | R.R. MEDICARE |
| 7139291 | Other | FL | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 231H00000X | Audiologist | AY211 (Florida) | Primary |
| Provider Name | Connect Hearing Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1265700942 PECOS PAC ID: 2860654951 Enrollment ID: O20131030000722 |
| Mailing Address | Practice Location Address |
|---|---|
| Bethany Lee Walden, AUD 215 Shuman Blvd Ste 401, Naperville, IL 60563-8123 Ph: (630) 303-5380 | Bethany Lee Walden, AUD 21216 Olean Blvd Ste 4, Port Charlotte, FL 33952-6722 Ph: (941) 766-8886 |
Deborah Ann Beneby, Audiologist Medicare: Not Enrolled in Medicare Practice Location: 1900 Tamiami Trl, Suite 109, Port Charlotte, FL 33948 Phone: 941-743-5211 Fax: 941-743-6380 | |
Connect Hearing, Inc. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 21216 Olean Blvd Ste 4, Port Charlotte, FL 33952 Phone: 941-766-8886 Fax: 941-766-8804 | |
Ear-tronics, Inc. Audiologist Medicare: Medicare Enrolled Practice Location: 3095 Tamiami Trl Unit B, Port Charlotte, FL 33952 Phone: 941-627-0464 Fax: 941-627-9645 | |
Dr. Karen Leann Bell, Audiologist Medicare: Not Enrolled in Medicare Practice Location: 3390 Tamiami Trl Ste 102, Port Charlotte, FL 33952 Phone: 833-354-1492 | |
Charlotte Hearing Center, Inc. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 21216 Olean Blvd, Suite 4, Port Charlotte, FL 33952 Phone: 941-766-8886 Fax: 941-766-8804 |