Ms Mary A Deinnocentes, MS,CCC-SLP-A is a
Audiologist based in Logansport, Indiana. Ms Mary A Deinnocentes is licensed to practice in Indiana (license number 23001831A) and her current practice location is
1325 N. 200 E., Logansport, Indiana. She can be reached at her office (for appointments etc.) via phone at
(574) 753-9855.
NPI number for Ms Mary A Deinnocentes is 1417152943 and her current mailing address is 1325 N. 200 E., Logansport, Indiana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1417152943.
Healthcare Provider's Profile
| Full Name | Ms Mary A Deinnocentes |
|---|
| Gender | Female |
|---|
| Speciality | Audiologist |
|---|
| Location | 1325 N. 200 E., Logansport, Indiana |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1417152943
- Provider Enumeration Date: 06/15/2007
- Last Update Date: 09/11/2025
Medical Identifiers
Medical identifiers for Ms Mary A Deinnocentes such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1417152943 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 231H00000X | Audiologist | 23001831A (Indiana) | Primary |
| 235Z00000X | Speech-language Pathologist | 22001831A (Indiana) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Mary A Deinnocentes is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Ms Mary A Deinnocentes, MS,CCC-SLP-A 1325 N. 200 E., Logansport, IN 46947 Ph: (574) 753-9855 | Ms Mary A Deinnocentes, MS,CCC-SLP-A 1325 N. 200 E., Logansport, IN 46947 Ph: (574) 753-9855 |
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