| Escobar Mobile Aud Of Mo Llc | |
|
221 Bolivar St, Jefferson City, MO 65101-1572 | |
| (502) 244-2441 | |
| Not Available |
| Full Name | Escobar Mobile Aud Of Mo Llc |
|---|---|
| Type | Facility |
| Speciality | Audiologist |
| Location | 221 Bolivar St, Jefferson City, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326685421 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 231H00000X | Audiologist | (* (Not Available)) | Primary |
| Provider Name | Karen A Tutt |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1629281175 PECOS PAC ID: 8628146875 Enrollment ID: I20081001000581 |
| Provider Name | Kristen E Kramer |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1467630335 PECOS PAC ID: 9830257088 Enrollment ID: I20081017000058 |
| Provider Name | Stephanie L Palatt |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1962708727 PECOS PAC ID: 7012198005 Enrollment ID: I20110223001222 |
| Provider Name | Leanna Rae Escobar |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1043465768 PECOS PAC ID: 7315255106 Enrollment ID: I20160311000355 |
| Provider Name | Kathleen R Rehrer |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1114368214 PECOS PAC ID: 8628294279 Enrollment ID: I20200217000092 |
| Mailing Address | Practice Location Address |
|---|---|
| Escobar Mobile Aud Of Mo Llc 12910 Shelbyville Rd Ste 300, Louisville, KY 40243-2404 Ph: (502) 244-2441 | Escobar Mobile Aud Of Mo Llc 221 Bolivar St, Jefferson City, MO 65101-1572 Ph: (502) 244-2441 |
Dr. Keri Elizabeth Salvatore, AUD Audiologist Medicare: Medicare Enrolled Practice Location: 1125 Madison St, Jefferson City, MO 65101 Phone: 573-632-4970 | |
Juan Bradley Allard, PH.D Audiologist Medicare: Not Enrolled in Medicare Practice Location: 1241 W Stadium Blvd, Jefferson City, MO 65109 Phone: 573-556-1732 Fax: 573-556-1738 | |
Cory Myren, AU.D. Audiologist Medicare: Medicare Enrolled Practice Location: 849 Stoneridge Pkwy, Jefferson City, MO 65109 Phone: 573-694-2805 |