| Mile High Audiology, Inc. | |
|
200 Union Blvd, Suite 421, Lakewood, CO 80228-1830 | |
| (720) 446-2828 | |
| (720) 446-0941 |
| Full Name | Mile High Audiology, Inc. |
|---|---|
| Type | Facility |
| Speciality | Audiologist |
| Location | 200 Union Blvd, Lakewood, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740649789 | NPI | - | NPPES |
| 29451281 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 231H00000X | Audiologist | AUD-218 (Colorado) | Primary |
| Provider Name | Amy S Civiello |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1811001969 PECOS PAC ID: 3375525249 Enrollment ID: I20040603001164 |
| Provider Name | Marin Adkisson |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1639424096 PECOS PAC ID: 4385938927 Enrollment ID: I20160804002075 |
| Mailing Address | Practice Location Address |
|---|---|
| Mile High Audiology, Inc. 200 Union Blvd, Suite 421, Lakewood, CO 80228-1830 Ph: (720) 446-2828 | Mile High Audiology, Inc. 200 Union Blvd, Suite 421, Lakewood, CO 80228-1830 Ph: (720) 446-2828 |
Breanna Koncak, AU.D, CCC-A Audiologist Medicare: Not Enrolled in Medicare Practice Location: 2405 Wadsworth Blvd, Lakewood, CO 80214 Phone: 303-237-4967 | |
Drew Price, AU.D Audiologist Medicare: Not Enrolled in Medicare Practice Location: 10881 W Asbury Ave, Ste 110, Lakewood, CO 80227 Phone: 303-985-4423 Fax: 303-985-4459 | |
Professional Hearing Services Corp. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 2405 Wadsworth Blvd, Lakewood, CO 80214 Phone: 303-237-4967 Fax: 303-237-4966 | |
Dr. Jeff Baller, AU.D., CCC-A Audiologist Medicare: Accepting Medicare Assignments Practice Location: 2405 Wadsworth Blvd, Lakewood, CO 80214 Phone: 303-237-4967 Fax: 303-237-4966 | |
Elizabeth Ann Gordon, AU.D., CCC-A Audiologist Medicare: Accepting Medicare Assignments Practice Location: 11700 W 2nd Pl, Suite 435, Lakewood, CO 80228 Phone: 720-321-8410 Fax: 720-321-8411 | |
Mary Todd Moseley, AUD Audiologist Medicare: Accepting Medicare Assignments Practice Location: 2405 Wadsworth Blvd, Lakewood, CO 80214 Phone: 303-237-4967 | |
Mr. David A Ives Ii, MA CCC-A Audiologist Medicare: Not Enrolled in Medicare Practice Location: 7586 W Jewell Ave Ste 2-201, Lakewood, CO 80232 Phone: 303-716-1177 Fax: 303-716-0253 |