| Mrs M Jeanne Evenson, AUD | |
|
2800 Tamarack Avenue, Suite 102, South Windsor, CT 06074 | |
| (860) 648-2802 | |
| (860) 648-0870 |
| Full Name | Mrs M Jeanne Evenson |
|---|---|
| Gender | Female |
| Speciality | Qualified Audiologist |
| Experience | 18 Years |
| Location | 2800 Tamarack Avenue, South Windsor, Connecticut |
| 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 |
|---|---|---|---|
| 1659543650 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 231H00000X | Audiologist | 000463 (Connecticut) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Manchester Ear, Nose And Throat Center Llc | 1951313022 | 3 |
| Provider Name | Manchester Ear, Nose & Throat Center Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1003856048 PECOS PAC ID: 1951313022 Enrollment ID: O20060608000296 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs M Jeanne Evenson, AUD 2800 Tamarack Avenue, Suite 102, South Windsor, CT 06074 Ph: (860) 648-2802 | Mrs M Jeanne Evenson, AUD 2800 Tamarack Avenue, Suite 102, South Windsor, CT 06074 Ph: (860) 648-2802 |
Mrs. Valerie M. Knorr, M.A. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 2800 Tamarack Avenue, Suite 102, South Windsor, CT 06074 Phone: 860-648-2802 Fax: 860-648-0870 | |
Ms. Barbara Brant Feehan, M.S.,CCC-A Audiologist Medicare: Not Enrolled in Medicare Practice Location: 22 Morgan Farms Dr, South Windsor, CT 06074 Phone: 860-644-7979 Fax: 860-644-2710 | |
Mrs. Loraine P. Lagace, M.S. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 2800 Tamarack Avenue, Suite 102, South Windsor, CT 06074 Phone: 860-648-2802 Fax: 860-648-0870 |