| Mrs Ivanna Tali Rotman, | |
|
1311 E Central Dr, Meridian, ID 83642-7991 | |
| (208) 282-4636 | |
| Not Available |
| Full Name | Mrs Ivanna Tali Rotman |
|---|---|
| Gender | Female |
| Speciality | Audiologist |
| Location | 1311 E Central Dr, Meridian, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447097456 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 231H00000X | Audiologist | AUD-6054 (Idaho) | Primary |
| Provider Name | Idaho State University |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1952474777 PECOS PAC ID: 4688683030 Enrollment ID: O20060412000292 |
| 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: O20170307002269 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Ivanna Tali Rotman, 2832 E Red Fir Ct, Boise, ID 83716-7102 Ph: (208) 761-8330 | Mrs Ivanna Tali Rotman, 1311 E Central Dr, Meridian, ID 83642-7991 Ph: (208) 282-4636 |
Dr. Shannon Gower, AU.D. Audiologist Medicare: Accepting Medicare Assignments Practice Location: 520 S Eagle Rd Ste 1225, Meridian, ID 83642 Phone: 208-489-5999 Fax: 208-489-4089 | |
Cora Bailey Call, Audiologist Medicare: Not Enrolled in Medicare Practice Location: 1209 N Summerbrook Ave Ste 100, Meridian, ID 83642 Phone: 208-938-5823 | |
Strickland Ear Clinic Pc Audiologist Medicare: Medicare Enrolled Practice Location: 1516 W Cayuse Creek Dr Ste 100, Meridian, ID 83646 Phone: 208-375-4327 Fax: 208-965-8227 | |
Maria Lynn Fisher, AU.D. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 520 S Eagle Rd Ste 1225, Meridian, ID 83642 Phone: 208-385-3560 Fax: 208-385-3561 | |
Bailey Neuhaus, AUD Audiologist Medicare: Accepting Medicare Assignments Practice Location: 520 S Eagle Rd Ste 1225, Meridian, ID 83642 Phone: 208-385-3560 | |
Idaho Ear Audiololgy Audiologist Medicare: Not Enrolled in Medicare Practice Location: 1209 N Summerbrook Ave Ste 110, Meridian, ID 83642 Phone: 208-938-5823 Fax: 208-938-5306 |