| Nathan Johansen, | |
|
700 W Ironwood Dr Ste 262, Coeur D Alene, ID 83814-4400 | |
| (509) 581-6300 | |
| Not Available |
| Full Name | Nathan Johansen |
|---|---|
| Gender | Male |
| Speciality | Qualified Audiologist |
| Experience | 1 Years |
| Location | 700 W Ironwood Dr Ste 262, Coeur D Alene, Idaho |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154215010 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 231H00000X | Audiologist | 8371566 (Idaho) | Primary |
| 237600000X | Audiologist-hearing Aid Fitter | 8371566 (Idaho) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Audiology Center Inc | 8426947839 | 5 |
| Provider Name | Audiology Center Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1528286812 PECOS PAC ID: 8426947839 Enrollment ID: O20070531000611 |
| Mailing Address | Practice Location Address |
|---|---|
| Nathan Johansen, 700 W Ironwood Dr Ste 262, Coeur D Alene, ID 83814-4400 Ph: (509) 581-6300 | Nathan Johansen, 700 W Ironwood Dr Ste 262, Coeur D Alene, ID 83814-4400 Ph: (509) 581-6300 |
Kootenai Audiology, Llc Audiologist Medicare: Not Enrolled in Medicare Practice Location: 700 W Ironwood Dr, Suite 236, Coeur D Alene, ID 83814 Phone: 208-765-1345 Fax: 208-667-9622 |
Senia Maria Romero, AUD, CCC-A Audiologist Medicare: Accepting Medicare Assignments Practice Location: 700 W Ironwood Dr Ste 278, Coeur D Alene, ID 83814 Phone: 208-625-5160 Fax: 208-625-5733 |
Ms. Tia A Flynn, AUD Audiologist Medicare: Not Enrolled in Medicare Practice Location: 1601 3rd Street, Coeur D Alene, ID 83814 Phone: 208-664-2767 Fax: 208-765-0306 |
Gloria M Schnell, AUD Audiologist Medicare: Not Enrolled in Medicare Practice Location: 700 W Ironwood Dr, Suite 236, Coeur D Alene, ID 83814 Phone: 208-765-1345 Fax: 208-667-9622 |
Affordable Hearing Aids Inc Audiologist Medicare: Not Enrolled in Medicare Practice Location: 1601 3rd Street, Coeur D Alene, ID 83814 Phone: 208-664-2767 Fax: 208-765-0306 |