| Dr Jill Lynnette Nesham, AUD | |
|
1500 Center St Ne Ste 102, Cedar Rapids, IA 52402-5500 | |
| (319) 393-4673 | |
| (319) 200-4068 |
| Full Name | Dr Jill Lynnette Nesham |
|---|---|
| Gender | Female |
| Speciality | Audiologist |
| Location | 1500 Center St Ne Ste 102, Cedar Rapids, Iowa |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154332484 | NPI | - | NPPES |
| 1448704 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 231H00000X | Audiologist | 147-001177 (Illinois) | Secondary |
| 237700000X | Hearing Instrument Specialist | 814 (Iowa) | Secondary |
| 231H00000X | Audiologist | 00533 (Iowa) | Primary |
| Provider Name | Professional Hearing Services Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1477937019 PECOS PAC ID: 3779898853 Enrollment ID: O20150819006523 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jill Lynnette Nesham, AUD 1500 Center St Ne Ste 102, Cedar Rapids, IA 52402-5500 Ph: (319) 393-4673 | Dr Jill Lynnette Nesham, AUD 1500 Center St Ne Ste 102, Cedar Rapids, IA 52402-5500 Ph: (319) 393-4673 |
Dr. Daniel L Hansen, AU.D. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 3525 Center Point Rd Ne, Suite C, Cedar Rapids, IA 52402 Phone: 319-393-5646 Fax: 319-393-5647 | |
Dr. Abigail Seagle Petty, AUD Audiologist Medicare: Medicare Enrolled Practice Location: 202 10th St Se Ste 200, Cedar Rapids, IA 52403 Phone: 319-399-2022 | |
Ms. Linae Maria Smith, CCC-A Audiologist Medicare: Accepting Medicare Assignments Practice Location: 202 10th Street Se, Cedar Rapids, IA 52403 Phone: 319-399-2022 Fax: 319-399-2014 | |
Mrs. Melissa Marie Heinricy, AUD Audiologist Medicare: Not Enrolled in Medicare Practice Location: 1825 - 29th St Ne, Ste A, Cedar Rapids, IA 52402 Phone: 319-246-8782 Fax: 319-286-8798 | |
Sara Lee Clark, CCC-A Audiologist Medicare: Not Enrolled in Medicare Practice Location: 202 10th Street Se, Cedar Rapids, IA 52403 Phone: 319-399-2022 Fax: 319-399-2014 | |
Dr. Jacqueline Christine Carder, AU.D. Audiologist Medicare: Accepting Medicare Assignments Practice Location: 4401 6th St Sw, Grant Wood Area Education Agency, Cedar Rapids, IA 52404 Phone: 319-731-4636 |