| Dr Tara Bodziak, AUD | |
|
3085 Southwestern Blvd Ste 103, Orchard Park, NY 14127-1234 | |
| (716) 674-4188 | |
| (716) 674-4834 |
| Full Name | Dr Tara Bodziak |
|---|---|
| Gender | Female |
| Speciality | Qualified Audiologist |
| Experience | 8 Years |
| Location | 3085 Southwestern Blvd Ste 103, Orchard Park, New York |
| 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 |
|---|---|---|---|
| 1073036927 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 231H00000X | Audiologist | 002745 (New York) | Primary |
| 237600000X | Audiologist-hearing Aid Fitter | 14000050439 (New York) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Dent Neurologic Group Llp | 1951298033 | 109 |
| Provider Name | Dent Neurologic Group Llp |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1497850911 PECOS PAC ID: 1951298033 Enrollment ID: O20040303000238 |
| Provider Name | Southtowns Ear Nose & Throat Llp |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1457458671 PECOS PAC ID: 6204858913 Enrollment ID: O20051222000031 |
| Provider Name | Lake Shore Audiology Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1811052939 PECOS PAC ID: 1850492406 Enrollment ID: O20070807000462 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Tara Bodziak, AUD 3085 Southwestern Blvd Ste 103, Orchard Park, NY 14127-1234 Ph: (716) 674-4188 | Dr Tara Bodziak, AUD 3085 Southwestern Blvd Ste 103, Orchard Park, NY 14127-1234 Ph: (716) 674-4188 |
Dr. James C Dimartino, AUD Audiologist Medicare: Accepting Medicare Assignments Practice Location: 3075 Southwestern Blvd, Ste 102, Orchard Park, NY 14127 Phone: 716-675-0616 Fax: 716-675-7101 | |
Mrs. Lynn T Pawlak, M.S. Audiologist Medicare: Medicare Enrolled Practice Location: 3075 Southwestern Blvd, Suite 102, Orchard Park, NY 14127 Phone: 716-675-0616 Fax: 716-675-7101 | |
Mrs. Kerry A Carlone, M.S. Audiologist Medicare: Medicare Enrolled Practice Location: 3070 Southwestern Blvd, Suite 102, Orchard Park, NY 14127 Phone: 716-675-0616 Fax: 716-675-7101 | |
Lake Shore Audiology, P C Audiologist Medicare: Medicare Enrolled Practice Location: 3085 Southwestern Blvd Ste 103, Orchard Park, NY 14127 Phone: 716-674-4188 Fax: 716-674-4834 | |
Mrs. Laura G. Gioia, Audiologist Medicare: Not Enrolled in Medicare Practice Location: 3075 Southwestern Blvd., Suite 102, Orchard Park, NY 14127 Phone: 716-675-0616 Fax: 716-675-7101 |