| Jordan Patrick Bellucci, AUD | |
|
172 2nd St S, Nampa, ID 83651-3708 | |
| (208) 385-3260 | |
| Not Available |
| Full Name | Jordan Patrick Bellucci |
|---|---|
| Gender | Male |
| Speciality | Audiologist |
| Location | 172 2nd St S, Nampa, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376154799 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 231H00000X | Audiologist | 81238 (Texas) | Primary |
| Provider Name | University Otolaryngology-head And Neck Surgery, Inc. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1245350958 PECOS PAC ID: 3274613930 Enrollment ID: O20080107000870 |
| Mailing Address | Practice Location Address |
|---|---|
| Jordan Patrick Bellucci, AUD 190 E Bannock St, Boise, ID 83712-6241 Ph: () - | Jordan Patrick Bellucci, AUD 172 2nd St S, Nampa, ID 83651-3708 Ph: (208) 385-3260 |
Fisher Mobile Audiology Audiologist Medicare: Not Enrolled in Medicare Practice Location: 1809 S Glasgow Ave, Nampa, ID 83686 Phone: 208-340-1482 | |
Pamela Jeanne Barry, CCC-SLP, CCC-A Audiologist Medicare: Not Enrolled in Medicare Practice Location: 619 S Canyon St, Nampa School District, Nampa, ID 83686 Phone: 208-468-4600 | |
Dana Koltenuk Gladd, AU.D. Audiologist Medicare: Accepting Medicare Assignments Practice Location: 172 2nd St S, Nampa, ID 83651 Phone: 208-489-5950 | |
Larissa Mann, AU.D. Audiologist Medicare: Accepting Medicare Assignments Practice Location: 172 2nd St S, Nampa, ID 83651 Phone: 208-489-5950 | |
Dr. Laurie C Stucki, AU.D. Audiologist Medicare: Accepting Medicare Assignments Practice Location: 172 2nd St S, Nampa, ID 83651 Phone: 208-385-3620 Fax: 208-385-3621 | |
Dr. Hillary Carlson, AU.D. Audiologist Medicare: Accepting Medicare Assignments Practice Location: 172 2nd St S, Nampa, ID 83651 Phone: 208-489-5970 Fax: 208-461-5623 |