| David Groesch, AUD | |
|
4000 Westgate Dr, Springfield, IL 62711-7066 | |
| (217) 726-6101 | |
| (217) 546-4659 |
| Full Name | David Groesch |
|---|---|
| Gender | Male |
| Speciality | Qualified Audiologist |
| Experience | 22 Years |
| Location | 4000 Westgate Dr, Springfield, Illinois |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730149196 | NPI | - | NPPES |
| 7313366 | Other | IL | AETNA INS. PROV. NO. |
| 8422416 | Other | IL | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 231H00000X | Audiologist | 147-000273 (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Central Illinois Hearing And Speech Ltd. | 5698818037 | 2 |
| Provider Name | Central Illinois Hearing & Speech Ltd. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1679708929 PECOS PAC ID: 5698818037 Enrollment ID: O20100206000172 |
| Mailing Address | Practice Location Address |
|---|---|
| David Groesch, AUD 4000 Westgate Dr, Springfield, IL 62711-7066 Ph: (217) 726-6101 | David Groesch, AUD 4000 Westgate Dr, Springfield, IL 62711-7066 Ph: (217) 726-6101 |
Jennifer Louise Berry, AUD Audiologist Medicare: Accepting Medicare Assignments Practice Location: 301 N 8th St, Pav 5b, Springfield, IL 62701 Phone: 217-545-6099 Fax: 217-545-7386 | |
Victoria L Blount, CCC-A Audiologist Medicare: Not Enrolled in Medicare Practice Location: 301 N 8th St # 5b, Springfield, IL 62701 Phone: 217-545-8000 Fax: 217-545-0253 | |
Abby Lynne Wright, AU.D. Audiologist Medicare: Accepting Medicare Assignments Practice Location: 4000 Westgate Drive, Springfield, IL 62711 Phone: 217-726-6101 Fax: 217-726-6103 | |
Christine M. Bitzer, Audiologist Medicare: Accepting Medicare Assignments Practice Location: 1025 S 6th St, Springfield, IL 62703 Phone: 217-528-7541 | |
Valerie A Ray, CCC-A Audiologist Medicare: Accepting Medicare Assignments Practice Location: 301 N 8th St, Pav 5b, Springfield, IL 62701 Phone: 217-545-6099 Fax: 217-545-0253 | |
Michael R. Larson, Audiologist Medicare: Not Enrolled in Medicare Practice Location: 1025 S 6th St, Springfield, IL 62703 Phone: 217-528-7541 | |
Cassandra J Maillet, AUD Audiologist Medicare: Accepting Medicare Assignments Practice Location: 1025 S 6th St, Springfield, IL 62703 Phone: 217-528-7541 |