| Bluegrass Hearing Clinic, Llc | |
| 
					116 Meridian Way Ste 1, Richmond, KY 40475-2876  | |
| (859) 623-4458 | |
| (859) 623-4459 | 
| Full Name | Bluegrass Hearing Clinic, Llc | 
|---|---|
| Type | Facility | 
| Speciality | Audiologist - Assistive Technology Practitioner | 
| Location | 116 Meridian Way Ste 1, Richmond, Kentucky | 
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1942489976 | NPI | - | NPPES | 
| 000000041650 | Other | KY | ANTHEM | 
| 70006507 | Medicaid | KY | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 231HA2400X | Audiologist - Assistive Technology Practitioner | (* (Not Available)) | Primary | 
| Provider Name | Deanna L Frazier | 
|---|---|
| Provider Type | Practitioner - Qualified Audiologist | 
| Provider Identifiers | NPI Number: 1508861048 PECOS PAC ID: 9133010853 Enrollment ID: I20040323000383  | 
| Provider Name | Stacey A High | 
|---|---|
| Provider Type | Practitioner - Qualified Audiologist | 
| Provider Identifiers | NPI Number: 1619124617 PECOS PAC ID: 4082750625 Enrollment ID: I20091012000450  | 
| Provider Name | Vanessa L Ewert | 
|---|---|
| Provider Type | Practitioner - Qualified Audiologist | 
| Provider Identifiers | NPI Number: 1790049781 PECOS PAC ID: 5698901734 Enrollment ID: I20131120001587  | 
| Provider Name | Lucinda Kerr Batta | 
|---|---|
| Provider Type | Practitioner - Qualified Audiologist | 
| Provider Identifiers | NPI Number: 1245600667 PECOS PAC ID: 1850692039 Enrollment ID: I20151211001406  | 
| Provider Name | Shelley T Heath | 
|---|---|
| Provider Type | Practitioner - Qualified Audiologist | 
| Provider Identifiers | NPI Number: 1417486580 PECOS PAC ID: 5597033191 Enrollment ID: I20170623000890  | 
| Provider Name | Mary Sohler | 
|---|---|
| Provider Type | Practitioner - Qualified Audiologist | 
| Provider Identifiers | NPI Number: 1376100982 PECOS PAC ID: 6709110653 Enrollment ID: I20190626001268  | 
| Provider Name | Kari Ann Wickstrom | 
|---|---|
| Provider Type | Practitioner - Qualified Audiologist | 
| Provider Identifiers | NPI Number: 1104317221 PECOS PAC ID: 3779836366 Enrollment ID: I20210126002981  | 
| Provider Name | Helena R Pinheiro | 
|---|---|
| Provider Type | Practitioner - Qualified Audiologist | 
| Provider Identifiers | NPI Number: 1790377372 PECOS PAC ID: 8921474933 Enrollment ID: I20221017001268  | 
| Provider Name | Kara Kerns | 
|---|---|
| Provider Type | Practitioner - Qualified Audiologist | 
| Provider Identifiers | NPI Number: 1578252714 PECOS PAC ID: 8628438082 Enrollment ID: I20230717001780  | 
| Provider Name | Michaela Jiunta | 
|---|---|
| Provider Type | Practitioner - Qualified Audiologist | 
| Provider Identifiers | NPI Number: 1669160263 PECOS PAC ID: 9638530041 Enrollment ID: I20230802000519  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Bluegrass Hearing Clinic, Llc 116 Meridian Way Ste 1, Richmond, KY 40475-2876 Ph: (859) 623-4458  | Bluegrass Hearing Clinic, Llc 116 Meridian Way Ste 1, Richmond, KY 40475-2876 Ph: (859) 623-4458  | 
Kari A Wickstrom, AUD Audiologist Medicare: Accepting Medicare Assignments Practice Location: 116 Meridian Way Ste 1, Richmond, KY 40475 Phone: 859-623-4458 Fax: 859-623-4459  | |
Daena C. Wilds,  Audiologist Medicare: Accepting Medicare Assignments Practice Location: 1036 Amberley Way, Ste. A, Richmond, KY 40475 Phone: 859-623-4458 Fax: 859-623-4459  | |
Shelley Heath, AU.D. Audiologist Medicare: Accepting Medicare Assignments Practice Location: 1036 Amberley Way Ste A, Richmond, KY 40475 Phone: 859-623-4458 Fax: 859-623-4459  | |
Michaela Ann Jiunta, AU.D. Audiologist Medicare: Medicare Enrolled Practice Location: 116 Meridian Way Ste 1, Richmond, KY 40475 Phone: 859-623-4458  | |
Hear At Your Service Llc Audiologist Medicare: Medicare Enrolled Practice Location: 1036 Amberley Way Ste A, Richmond, KY 40475 Phone: 859-623-4458 Fax: 859-623-4459  |