| Michelle Marie Mattingly, | |
|
1533 W River Rd N, Elyria, OH 44035-2713 | |
| (440) 324-6999 | |
| Not Available |
| Full Name | Michelle Marie Mattingly |
|---|---|
| Gender | Female |
| Speciality | Audiologist |
| Location | 1533 W River Rd N, Elyria, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568182707 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 231H00000X | Audiologist | (* (Not Available)) | Primary |
| Provider Name | Audiology Services Company USA LLC |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1033585302 PECOS PAC ID: 9032414701 Enrollment ID: O20170524002881 |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle Marie Mattingly, 1490 W River Rd N, Elyria, OH 44035-2712 Ph: Not Available | Michelle Marie Mattingly, 1533 W River Rd N, Elyria, OH 44035-2713 Ph: (440) 324-6999 |
Heather Schieda, AU.D. Audiologist Medicare: Accepting Medicare Assignments Practice Location: 303 Chestnut Commons Dr, Elyria, OH 44035 Phone: 440-366-9444 |
Kristen Edwards, AU.D. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 1490 W River Rd N, Elyria, OH 44035 Phone: 440-324-6999 |
Dr. Taylor Marie Householder, AU.D. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 1885 Lake Ave, Elyria, OH 44035 Phone: 440-325-5777 |