| Larry Mazzeo, AUD | |
|
600 Blues Lake Pkwy, Rolla, MO 65401-8022 | |
| (573) 364-5719 | |
| (573) 364-5719 |
| Full Name | Larry Mazzeo |
|---|---|
| Gender | Male |
| Speciality | Qualified Audiologist |
| Experience | 39 Years |
| Location | 600 Blues Lake Pkwy, Rolla, Missouri |
| 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 |
|---|---|---|---|
| 1669466892 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 231H00000X | Audiologist | 117468 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Phelps County Regional Medical Center | Rolla, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pcrmc Medical Group Inc | 1557454063 | 99 |
| Provider Name | Phelps County Regional Medical Center |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1891766051 PECOS PAC ID: 2860391158 Enrollment ID: O20040106000405 |
| Provider Name | Pcrmc Medical Group Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1124237227 PECOS PAC ID: 1557454063 Enrollment ID: O20070829000437 |
| Mailing Address | Practice Location Address |
|---|---|
| Larry Mazzeo, AUD 1202 Turkey Run, Rolla, MO 65401-3889 Ph: (573) 341-8409 | Larry Mazzeo, AUD 600 Blues Lake Pkwy, Rolla, MO 65401-8022 Ph: (573) 364-5719 |
Dr. Lynne Cary Schenk, AUD Audiologist Medicare: Not Enrolled in Medicare Practice Location: 600 Blues Lake Pkwy, Rolla, MO 65401 Phone: 573-364-5719 Fax: 573-364-6493 | |
Angkor Audiology Llc Audiologist Medicare: Medicare Enrolled Practice Location: 1005 N Pine St, Rolla, MO 65401 Phone: 573-426-3350 | |
Dr. Alec Deveney, AU.D. Audiologist Medicare: May Accept Medicare Assignments Practice Location: 600 Blues Lake Pkwy, Rolla, MO 65401 Phone: 573-364-8822 Fax: 573-202-2402 |