| Maria Campbell Ballentine, AUD | |
|
55 Lake Ave N, Worcester, MA 01655-0002 | |
| (774) 442-3996 | |
| (774) 442-5170 |
| Full Name | Maria Campbell Ballentine |
|---|---|
| Gender | Female |
| Speciality | Audiologist |
| Location | 55 Lake Ave N, Worcester, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235799917 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 231H00000X | Audiologist | 01409 (Maryland) | Secondary |
| 231H00000X | Audiologist | 4804 (Massachusetts) | Primary |
| Provider Name | Umass Memorial Medical Group Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1760445373 PECOS PAC ID: 4284539891 Enrollment ID: O20040113000267 |
| Provider Name | Reliant Medical Group Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1720017528 PECOS PAC ID: 5597755322 Enrollment ID: O20040708000650 |
| Mailing Address | Practice Location Address |
|---|---|
| Maria Campbell Ballentine, AUD Po Box 415348, Boston, MA 02241-5348 Ph: () - | Maria Campbell Ballentine, AUD 55 Lake Ave N, Worcester, MA 01655-0002 Ph: (774) 442-3996 |
Dr. Jennifer Martin, AU.D. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 377 Plantation St, Audiology (126), Worcester, MA 01605 Phone: 413-584-4040 | |
Victoria Whitney, AU.D. Audiologist Medicare: Medicare Enrolled Practice Location: 281 Lincoln St, Worcester, MA 01605 Phone: 508-334-0926 | |
Dr. Merrisa Eleanor Murtha, AUD. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 48 Elm St, Worcester, MA 01609 Phone: 508-757-0330 | |
Mrs. Bianca Bimbatti Berkenwald, AU.D. Audiologist Medicare: Accepting Medicare Assignments Practice Location: 281 Lincoln Street, Suite 253, Worcester, MA 01605 Phone: 508-334-8736 | |
Sabrina Elizabeth Gemme, AU.D. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 279 Lincoln St, Worcester, MA 01605 Phone: 508-334-8830 | |
Lisa Brody, AUD Audiologist Medicare: Not Enrolled in Medicare Practice Location: 281 Lincoln St, Worcester, MA 01605 Phone: 083-348-7265 Fax: 508-334-8751 | |
Nouhad Alchahal, AU.D. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 377 Plantation St, Worcester, MA 01605 Phone: 413-584-4040 |