| Katelyn Witham, AUD | |
|
5639 W Genesee St, Camillus, NY 13031-1250 | |
| (315) 468-2985 | |
| Not Available |
| Full Name | Katelyn Witham |
|---|---|
| Gender | Female |
| Speciality | Audiologist |
| Location | 5639 W Genesee St, Camillus, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164150066 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 231H00000X | Audiologist | 336104 (New York) | Primary |
| Provider Name | Preferred Audiology Care, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1033449558 PECOS PAC ID: 3870638463 Enrollment ID: O20100308000265 |
| Provider Name | Western New York Medical Practice Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1063790608 PECOS PAC ID: 3870767791 Enrollment ID: O20111110000598 |
| Mailing Address | Practice Location Address |
|---|---|
| Katelyn Witham, AUD 5639 W Genesee St, Camillus, NY 13031-1250 Ph: () - | Katelyn Witham, AUD 5639 W Genesee St, Camillus, NY 13031-1250 Ph: (315) 468-2985 |
Chantel Brena Brennan, Audiologist Medicare: Not Enrolled in Medicare Practice Location: 5639 W Genesee St, Camillus, NY 13031 Phone: 315-468-2985 Fax: 315-320-0245 | |
Dr. Nicole Marie Anzalone, AU.D., CCC-A Audiologist Medicare: Accepting Medicare Assignments Practice Location: 5639 W Genesee St, Camillus, NY 13031 Phone: 315-468-6888 Fax: 315-468-6892 | |
Mrs. Dina Naomi Pettiford, M.S., CCC-A Audiologist Medicare: Not Enrolled in Medicare Practice Location: 5700 W Genesee St, Suite 229, Camillus, NY 13031 Phone: 315-234-3842 | |
Dr. Kristen Joy Vieau, AUD Audiologist Medicare: Medicare Enrolled Practice Location: 5639 W Genesee St, Camillus, NY 13031 Phone: 315-468-2985 Fax: 315-320-0245 | |
Dr. Juliet Raine Stuber, AUD Audiologist Medicare: Not Enrolled in Medicare Practice Location: 5639 W Genesee St, Camillus, NY 13031 Phone: 315-468-2985 | |
Dr. Christine Rose Linnenbach, AUD, CCC-A Audiologist Medicare: Medicare Enrolled Practice Location: 5639 W Genesee St, Camillus, NY 13031 Phone: 315-468-2985 |