| Celesta Cartrite Myland, MS,CCC/A | |
|
675 Water St, Excelsior, MN 55331-3072 | |
| (952) 925-5626 | |
| (952) 925-0223 |
| Full Name | Celesta Cartrite Myland |
|---|---|
| Gender | Female |
| Speciality | Audiologist |
| Location | 675 Water St, Excelsior, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578649042 | NPI | - | NPPES |
| 1578649042 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 231H00000X | Audiologist | 8430 (Minnesota) | Primary |
| 231HA2500X | Audiologist - Assistive Technology Supplier | 8430 (Minnesota) | Secondary |
| Provider Name | Ridgeview Medical Center |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1528364429 PECOS PAC ID: 9234041997 Enrollment ID: O20031111000183 |
| Mailing Address | Practice Location Address |
|---|---|
| Celesta Cartrite Myland, MS,CCC/A 675 Water St, Excelsior, MN 55331-3072 Ph: (952) 925-5626 | Celesta Cartrite Myland, MS,CCC/A 675 Water St, Excelsior, MN 55331-3072 Ph: (952) 925-5626 |
Amy M Kloke, MS, CCC-A Audiologist Medicare: Not Enrolled in Medicare Practice Location: 675 Water St, Excelsior, MN 55331 Phone: 952-925-5626 Fax: 952-925-0223 | |
West Metro Audiological Specialists Inc Audiologist Medicare: Medicare Enrolled Practice Location: 5641 Zumbra Drive, Suite 111, Excelsior, MN 55331 Phone: 952-474-2305 | |
Michelle M Foss, Audiologist Medicare: Not Enrolled in Medicare Practice Location: 21350 Highway 7, Excelsior, MN 55331 Phone: 952-470-1100 Fax: 952-470-1993 | |
Mr. Michael George Block, M.S, , PH.D. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 21350 Highway 7, Excelsior, MN 55331 Phone: 952-470-1100 |