| Candace Slack, | |
|
510 North St Ste 10, Pittsfield, MA 01201-4127 | |
| (413) 448-8291 | |
| Not Available |
| Full Name | Candace Slack |
|---|---|
| Gender | Female |
| Speciality | Audiologist |
| Location | 510 North St Ste 10, Pittsfield, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215502844 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 231H00000X | Audiologist | (* (Not Available)) | Primary |
| Provider Name | Berkshire Faculty Services Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1548212939 PECOS PAC ID: 8224068424 Enrollment ID: O20050817001122 |
| Mailing Address | Practice Location Address |
|---|---|
| Candace Slack, 1548 Gambit Dr, Troy, MO 63379-2526 Ph: (203) 213-3474 | Candace Slack, 510 North St Ste 10, Pittsfield, MA 01201-4127 Ph: (413) 448-8291 |
Nicole Diehl, AUD Audiologist Medicare: Not Enrolled in Medicare Practice Location: 195 South St, Pittsfield, MA 01201 Phone: 413-443-6116 Fax: 413-443-6116 | |
Mrs. Ashley Nicole Clancy-gagnon, AUD Audiologist Medicare: May Accept Medicare Assignments Practice Location: 510 North St Ste 6, Pittsfield, MA 01201 Phone: 413-447-2225 | |
Dr. Anne Lee, AUD Audiologist Medicare: Medicare Enrolled Practice Location: 510 North St., Suite 6, Room 202, Pittsfield, MA 01201 Phone: 413-447-2225 | |
Mr. Andrew Joseph Puttick, AU.D, F-AAA Audiologist Medicare: Accepting Medicare Assignments Practice Location: 392 Merrill Rd, Pittsfield, MA 01201 Phone: 413-443-4800 Fax: 413-464-9526 | |
Amber Swisher, Audiologist Medicare: Medicare Enrolled Practice Location: 510 North St Ste 6, Pittsfield, MA 01201 Phone: 413-447-2225 | |
Dr. Allison Amend, AU.D. Audiologist Medicare: Medicare Enrolled Practice Location: 510 North St Ste 6, Pittsfield, MA 01201 Phone: 413-447-2225 Fax: 413-346-6798 |