| Madelyn Ilyse Gubernick, AUD, CCC-A | |
| 
					2112 Providence Ave, Chester, PA 19013-5507  | |
| (610) 874-5366 | |
| (610) 874-8448 | 
| Full Name | Madelyn Ilyse Gubernick | 
|---|---|
| Gender | Female | 
| Speciality | Audiologist | 
| Location | 2112 Providence Ave, Chester, Pennsylvania | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1427605914 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 231H00000X | Audiologist | AT006539 (Pennsylvania) | Primary | 
| Provider Name | Providence Ear Nose & Throat Associates Inc | 
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice | 
| Provider Identifiers | NPI Number: 1366523904 PECOS PAC ID: 1456349497 Enrollment ID: O20040506000238  | 
| Provider Name | Providence Hearing Aid Center | 
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice | 
| Provider Identifiers | NPI Number: 1205093630 PECOS PAC ID: 0446619795 Enrollment ID: O20230705000024  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Madelyn Ilyse Gubernick, AUD, CCC-A 2112 Providence Ave, Chester, PA 19013-5507 Ph: (610) 874-5366  | Madelyn Ilyse Gubernick, AUD, CCC-A 2112 Providence Ave, Chester, PA 19013-5507 Ph: (610) 874-5366  | 
Leah Castrovince, AUD Audiologist Medicare: Medicare Enrolled Practice Location: 2112 Providence Ave, Chester, PA 19013 Phone: 610-600-1005  | |
Providence Hearing Aid Center Audiologist Medicare: Medicare Enrolled Practice Location: 2112 Providence Ave, Chester, PA 19013 Phone: 610-874-5366 Fax: 610-874-8448  | |
Dr. Julie Anne Jimenez, AUD Audiologist Medicare: Medicare Enrolled Practice Location: 2112 Providence Ave, Chester, PA 19013 Phone: 610-600-1005  | |
Debra Rosen, MA Audiologist Medicare: Not Enrolled in Medicare Practice Location: 2112 Providence Ave, Chester, PA 19013 Phone: 610-600-1005  | |
Mrs. Joan Katz Kipnis, MA Audiologist Medicare: Medicare Enrolled Practice Location: 2112 Providence Ave, Chester, PA 19013 Phone: 610-874-5366  | |
Jessica Witt, AUD Audiologist Medicare: Medicare Enrolled Practice Location: 2112 Providence Ave, Chester, PA 19013 Phone: 610-600-1005  |