| Mrs Melissa Marie Headley, AUD | |
|
1702 University Dr S, Fargo, ND 58103-4940 | |
| (017) 364-8000 | |
| Not Available |
| Full Name | Mrs Melissa Marie Headley |
|---|---|
| Gender | Female |
| Speciality | Qualified Audiologist |
| Experience | 12 Years |
| Location | 1702 University Dr S, Fargo, North Dakota |
| 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 |
|---|---|---|---|
| 1144607540 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 231H00000X | Audiologist | 695 (Colorado) | Secondary |
| 231H00000X | Audiologist | 2226 (North Dakota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Essentia Health | Fargo, ND | Hospital |
| Essentia Health St Marys - Detroit Lakes | Detroit lakes, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Innovis Health Llc | 9931298155 | 509 |
| Provider Name | Innovis Health Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1215125463 PECOS PAC ID: 9931298155 Enrollment ID: O20071211000158 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Melissa Marie Headley, AUD 1702 University Dr S, Fargo, ND 58103-4940 Ph: () - | Mrs Melissa Marie Headley, AUD 1702 University Dr S, Fargo, ND 58103-4940 Ph: (017) 364-8000 |
Dr. Scot Robert Rosenthal Ii, AU.D. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 2101 Elm St N, Fargo, ND 58102 Phone: 701-239-3748 | |
Mrs. Sierra Noelle Hoggarth, AUD, CCC-A Audiologist Medicare: Medicare Enrolled Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-2000 | |
Ronald Duane Johnson, M.A., CCC-A Audiologist Medicare: Not Enrolled in Medicare Practice Location: 2101 Elm St N, Fargo, ND 58102 Phone: 701-239-3700 | |
Dr. Laura B Fugleberg, AU.D. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 2101 Elm St N, Fargo, ND 58102 Phone: 701-239-3700 | |
Brian D Qvammen, MS Audiologist Medicare: Not Enrolled in Medicare Practice Location: 737 Broadway, Fargo, ND 58122 Phone: 701-234-2441 Fax: 701-234-2606 | |
Emily Ann Huber, AU.D. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 2700 12th Ave S Ste D, Fargo, ND 58103 Phone: 701-232-2438 |