| Kelly M Lewis, AUD | |
|
1625 N 87th St, Scottsdale, AZ 85257-2922 | |
| (480) 429-0026 | |
| (480) 429-0028 |
| Full Name | Kelly M Lewis |
|---|---|
| Gender | Female |
| Speciality | Qualified Audiologist |
| Experience | 11 Years |
| Location | 1625 N 87th St, Scottsdale, Arizona |
| 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 |
|---|---|---|---|
| 1073999579 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 231H00000X | Audiologist | DA9474 (Arizona) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Adam Dipuccio Llc | 7719953546 | 6 |
| Provider Name | Adam Dipuccio Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1881708261 PECOS PAC ID: 7719953546 Enrollment ID: O20040902001359 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly M Lewis, AUD 5202 E Main St, Suite #105, Mesa, AZ 85205-8038 Ph: (480) 218-1328 | Kelly M Lewis, AUD 1625 N 87th St, Scottsdale, AZ 85257-2922 Ph: (480) 429-0026 |
Carol E Carrillo, M.A. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 13400 E Shea Blvd, Scottsdale, AZ 85259 Phone: 480-301-8000 | |
Kelly P Conroy, M.S. Audiologist Medicare: Accepting Medicare Assignments Practice Location: 13400 E Shea Blvd, Scottsdale, AZ 85259 Phone: 480-301-8000 | |
Laurie Davis, AUD Audiologist Medicare: Accepting Medicare Assignments Practice Location: 13400 E Shea Blvd, Scottsdale, AZ 85259 Phone: 480-301-8000 | |
Dr. Jodi L Mccollum, AUD Audiologist Medicare: Accepting Medicare Assignments Practice Location: 13400 E Shea Blvd, Scottsdale, AZ 85259 Phone: 480-301-8000 | |
Whitney Alyssa Casper, AUD Audiologist Medicare: Accepting Medicare Assignments Practice Location: 20745 N Scottsdale Rd Ste 105, Scottsdale, AZ 85255 Phone: 480-534-4525 Fax: 480-882-5051 | |
Haley Slack, AUD Audiologist Medicare: Accepting Medicare Assignments Practice Location: 8752 E Via De Commercio Ste 1, Scottsdale, AZ 85258 Phone: 480-684-1080 |