| Darah Jean Regal, AUD | |
|
6301 University Commons, Null, South Bend, IN 46635-1571 | |
| (574) 234-8161 | |
| Not Available |
| Full Name | Darah Jean Regal |
|---|---|
| Gender | Female |
| Speciality | Qualified Audiologist |
| Experience | 21 Years |
| Location | 6301 University Commons, South Bend, Indiana |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093480618 | NPI | - | NPPES |
| 300054242 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 231H00000X | Audiologist | 23002172A (Indiana) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Goshen Health System Inc | 4880598572 | 140 |
| Provider Name | Goshen Health System Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1194772293 PECOS PAC ID: 4880598572 Enrollment ID: O20031124000658 |
| Provider Name | The South Bend Clinic Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1073680419 PECOS PAC ID: 3779577937 Enrollment ID: O20040412000439 |
| Mailing Address | Practice Location Address |
|---|---|
| Darah Jean Regal, AUD 6301 University Commons, Null, South Bend, IN 46635-1571 Ph: (574) 234-8161 | Darah Jean Regal, AUD 6301 University Commons, Null, South Bend, IN 46635-1571 Ph: (574) 234-8161 |
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