| Megan M Wallace, AUD | |
|
2502 E Empire St, Bloomington, IL 61704-3738 | |
| (309) 663-4368 | |
| (095) 245-3573 |
| Full Name | Megan M Wallace |
|---|---|
| Gender | Female |
| Speciality | Qualified Audiologist |
| Experience | 14 Years |
| Location | 2502 E Empire St, Bloomington, Illinois |
| 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 |
|---|---|---|---|
| 1306192810 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 231H00000X | Audiologist | 147001429 (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Christie Clinic, Pllc | 7719899319 | 210 |
| Provider Name | Christie Clinic, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1871523829 PECOS PAC ID: 7719899319 Enrollment ID: O20031103000332 |
| Provider Name | Rockford Health Physicians |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1043242886 PECOS PAC ID: 2567374036 Enrollment ID: O20031103000584 |
| Mailing Address | Practice Location Address |
|---|---|
| Megan M Wallace, AUD 101 W University Ave, Champaign, IL 61820-3909 Ph: (815) 971-2000 | Megan M Wallace, AUD 2502 E Empire St, Bloomington, IL 61704-3738 Ph: (309) 663-4368 |
Lisa Baer, Audiologist Medicare: Not Enrolled in Medicare Practice Location: 1404 Eastland Dr Ste 209, Bloomington, IL 61701 Phone: 309-662-3277 Fax: 309-663-0845 | |
Megan C Kuhn, Audiologist Medicare: Not Enrolled in Medicare Practice Location: Campus Box 4720, Illinois State University, Bloomington, IL 61790 Phone: 309-438-8641 | |
Mrs. Deanna Marie Ginder-west, M.S., CCC-A Audiologist Medicare: Not Enrolled in Medicare Practice Location: 2101 Eastland Dr Ste F, Bloomington, IL 61704 Phone: 309-664-6200 | |
Mrs. Casey L Sepich, AUD Audiologist Medicare: Medicare Enrolled Practice Location: 1701 E College Ave, Bloomington, IL 61704 Phone: 309-664-3000 | |
Sara L Hanley, Audiologist Medicare: May Accept Medicare Assignments Practice Location: 816 S Eldorado Rd Ste 1, Bloomington, IL 61704 Phone: 309-662-8346 Fax: 309-662-0479 | |
Dr. Deborah S Pitcher, AUD Audiologist Medicare: Not Enrolled in Medicare Practice Location: 1404 Eastland Drive, Suite 203, Bloomington, IL 61701 Phone: 309-662-8346 Fax: 309-662-0479 |