| Ms Dianna Galvan, | |
|
2150 Gettler St Ste 260, Dyer, IN 46311-2381 | |
| (219) 934-9822 | |
| Not Available |
| Full Name | Ms Dianna Galvan |
|---|---|
| Gender | Female |
| Speciality | Qualified Audiologist |
| Experience | 33 Years |
| Location | 2150 Gettler St Ste 260, Dyer, Indiana |
| 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 |
|---|---|---|---|
| 1780814079 | NPI | - | NPPES |
| 200948830 | Medicaid | IN | |
| 47141199 | Other | IN | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 231H00000X | Audiologist | 23002223A (Indiana) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Otolaryngology Associates Of Northwest Indiana Llc | 0547656704 | 4 |
| Provider Name | Great Lakes Healthcare Specialists Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1467851139 PECOS PAC ID: 4385960087 Enrollment ID: O20150223001562 |
| Provider Name | Otolaryngology Associates Of Northwest Indiana Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1124782842 PECOS PAC ID: 0547656704 Enrollment ID: O20220415000906 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Dianna Galvan, 1040 Sierra Dr Ste 400, Greenwood, IN 46143-7241 Ph: (317) 528-4800 | Ms Dianna Galvan, 2150 Gettler St Ste 260, Dyer, IN 46311-2381 Ph: (219) 934-9822 |
Mrs. Susan Mary Mackin, M.A., C.C.C.-A Audiologist Medicare: Not Enrolled in Medicare Practice Location: 925 Sheffield Ave, Dyer, IN 46311 Phone: 219-322-8560 Fax: 219-322-8570 | |
Vrm Enterprises Inc Audiologist Medicare: Not Enrolled in Medicare Practice Location: 925 Sheffield Ave, Dyer, IN 46311 Phone: 219-322-8560 | |
Dr. Valari Anne Koziel, AU.D Audiologist Medicare: Not Enrolled in Medicare Practice Location: 24 Joliet St, Dyer, IN 46311 Phone: 219-864-2004 Fax: 219-864-2217 |