| Keeley Coffee, AUD | |
|
625 Pole Line Rd W Ste 2b, Twin Falls, ID 83301-4270 | |
| (208) 814-7350 | |
| (208) 732-8508 |
| Full Name | Keeley Coffee |
|---|---|
| Gender | Female |
| Speciality | Qualified Audiologist |
| Experience | 2 Years |
| Location | 625 Pole Line Rd W Ste 2b, Twin Falls, Idaho |
| 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 |
|---|---|---|---|
| 1194568824 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 231H00000X | Audiologist | AUD-6429 (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Lukes Magic Valley Medical Center | Twin falls, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Lukes Clinic Llc | 1052217478 | 294 |
| Provider Name | St Lukes Clinic Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1790718229 PECOS PAC ID: 1052217478 Enrollment ID: O20031208000899 |
| Mailing Address | Practice Location Address |
|---|---|
| Keeley Coffee, AUD 190 E Bannock St, Boise, ID 83712-6241 Ph: () - | Keeley Coffee, AUD 625 Pole Line Rd W Ste 2b, Twin Falls, ID 83301-4270 Ph: (208) 814-7350 |
South Idaho Hearing & Audiology Audiologist Medicare: Not Enrolled in Medicare Practice Location: 1330 Filer Ave E, Twin Falls, ID 83301 Phone: 208-734-4555 Fax: 208-734-3632 | |
Shane Lloyd Hunsaker, AUD Audiologist Medicare: Not Enrolled in Medicare Practice Location: 459 Locust St N Ste 110, Twin Falls, ID 83301 Phone: 208-734-8263 Fax: 208-938-5306 | |
Daniele J Ruhter, MS Audiologist Medicare: Medicare Enrolled Practice Location: 706 N College Rd, Suite C, Twin Falls, ID 83301 Phone: 208-735-1000 Fax: 208-732-5345 | |
Sarah Johnson, AUD Audiologist Medicare: May Accept Medicare Assignments Practice Location: 625 Pole Line Rd W Ste 2b, Twin Falls, ID 83301 Phone: 208-814-7350 | |
Mary Konneker, AU.D. Audiologist Medicare: Medicare Enrolled Practice Location: 625 Pole Line Rd W, Twin Falls, ID 83301 Phone: 208-814-7350 | |
Vanessa Snow, AUD Audiologist Medicare: Accepting Medicare Assignments Practice Location: 625 Pole Line Rd W Ste 2b, Twin Falls, ID 83301 Phone: 208-814-7350 |