| Cedar Hearing & Balance Center, Desert Valley Hearing & Balance Center | |
|
1054 East Riverside Dr, Suite 201, St George, UT 84790-4825 | |
| (435) 688-8991 | |
| (435) 688-2122 |
| Full Name | Cedar Hearing & Balance Center, Desert Valley Hearing & Balance Center |
|---|---|
| Type | Facility |
| Speciality | Audiologist |
| Location | 1054 East Riverside Dr, St George, Utah |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902087547 | NPI | - | NPPES |
| D6362 | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 231H00000X | Audiologist | 59355224101 (Utah) | Secondary |
| 231H00000X | Audiologist | 5935522-4101 (* (Not Available)) | Primary |
| Provider Name | Richard L Luekenga |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1609818905 PECOS PAC ID: 5092731356 Enrollment ID: I20051018000458 |
| Provider Name | Ryan Whitaker |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1437461456 PECOS PAC ID: 4981875796 Enrollment ID: I20111012000646 |
| Provider Name | Rachael Ariminta Gehmlich |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1366000952 PECOS PAC ID: 8820322381 Enrollment ID: I20190703000741 |
| Mailing Address | Practice Location Address |
|---|---|
| Cedar Hearing & Balance Center, Desert Valley Hearing & Balance Center 1054 East Riverside Dr, Suite 201, St George, UT 84790-4825 Ph: (435) 688-8991 | Cedar Hearing & Balance Center, Desert Valley Hearing & Balance Center 1054 East Riverside Dr, Suite 201, St George, UT 84790-4825 Ph: (435) 688-8991 |
Richard Luekenga Audiologist Medicare: Not Enrolled in Medicare Practice Location: 1054 E Riverside Dr, Ste 201, St George, UT 84790 Phone: 435-688-8991 Fax: 435-688-2122 | |
Jeffrey A. Manwaring, M.S., CCC-A Audiologist Medicare: Not Enrolled in Medicare Practice Location: 1490 East Foremaster Drive, Suite 140, St George, UT 84790 Phone: 435-688-2456 Fax: 435-986-4096 | |
Brittany Garcia, AU.D. Audiologist Medicare: Accepting Medicare Assignments Practice Location: 1490 E Foremaster Dr, Suite 360, St George, UT 84790 Phone: 435-688-8866 Fax: 435-688-2882 | |
Spencer W Stirland, AUD Audiologist Medicare: Not Enrolled in Medicare Practice Location: 1490 E Foremaster Dr, Suite 360, St George, UT 84790 Phone: 435-688-8866 Fax: 435-688-2882 | |
Heather Annette Smith, AU.D Audiologist Medicare: Accepting Medicare Assignments Practice Location: 617 E Riverside Dr Ste 102, St George, UT 84790 Phone: 435-688-8866 Fax: 435-688-2882 | |
Kimball B Forbes Audiologist Medicare: Not Enrolled in Medicare Practice Location: 1490 E Foremaster Dr, #360, St George, UT 84790 Phone: 435-688-8866 Fax: 435-688-2882 | |
Dr. Nicole Marie Thiede, AUD Audiologist Medicare: Accepting Medicare Assignments Practice Location: 617 E Riverside Dr Ste 102, St George, UT 84790 Phone: 435-688-8866 |