| Jack Jones Hearing Centers, Inc. | |
|
400 S Henderson St, Fort Worth, TX 76104-1017 | |
| (817) 335-2583 | |
| (817) 335-2597 |
| Full Name | Jack Jones Hearing Centers, Inc. |
|---|---|
| Type | Facility |
| Speciality | Hearing Aid Equipment |
| Location | 400 S Henderson St, Fort Worth, Texas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134115256 | NPI | - | NPPES |
| 0615164 | Other | TX | AETNA |
| 022068301 | Medicaid | TX | |
| 022467701 | Medicaid | TX | |
| 112774803 | Medicaid | TX | |
| 022466901 | Medicaid | TX | |
| 112774801 | Medicaid | TX | |
| 530294 | Other | TX | BCBS |
| Provider Name | Beth Bernthal |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1215035977 PECOS PAC ID: 4082698733 Enrollment ID: I20040617001705 |
| Provider Name | Katherine C Muir |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1588611248 PECOS PAC ID: 2668567314 Enrollment ID: I20070926001028 |
| Provider Name | Jamie S Massey |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1518018035 PECOS PAC ID: 9234317306 Enrollment ID: I20110621000412 |
| Provider Name | Robert P Wright |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1669765855 PECOS PAC ID: 6507044468 Enrollment ID: I20110623000120 |
| Provider Name | Rebecca Lynn Powell |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1912084302 PECOS PAC ID: 6901822287 Enrollment ID: I20120130000693 |
| Provider Name | Tyler Woodson Milrany |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1639444763 PECOS PAC ID: 4183866585 Enrollment ID: I20130814000942 |
| Provider Name | Ryanne Tindell |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1346810405 PECOS PAC ID: 4082016894 Enrollment ID: I20210715001156 |
| Provider Name | Khanh T Tran |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1326726241 PECOS PAC ID: 0042673964 Enrollment ID: I20230825000297 |
| Provider Name | Lexi Elizabeth Tonascia Hutchison |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1427789403 PECOS PAC ID: 4385167840 Enrollment ID: I20250326000985 |
| Mailing Address | Practice Location Address |
|---|---|
| Jack Jones Hearing Centers, Inc. 750 N Commons Dr Ste 200, Aurora, IL 60504-8025 Ph: (630) 303-5380 | Jack Jones Hearing Centers, Inc. 400 S Henderson St, Fort Worth, TX 76104-1017 Ph: (817) 335-2583 |