| Northside Ent, Inc | |
|
12065 Old Meridian St, Suite 205, Carmel, IN 46032-8773 | |
| (317) 844-5656 | |
| (317) 575-3795 |
| Full Name | Northside Ent, Inc |
|---|---|
| Type | Facility |
| Speciality | Audiologist |
| Location | 12065 Old Meridian St, Carmel, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083656672 | NPI | - | NPPES |
| 100062900A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 231H00000X | Audiologist | 23002085A (Indiana) | Primary |
| Provider Name | Jeffrey C Beach |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1184672107 PECOS PAC ID: 0446155360 Enrollment ID: I20031212000207 |
| Provider Name | Burke Chegar |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1801829809 PECOS PAC ID: 5597709451 Enrollment ID: I20061102000043 |
| Provider Name | Jennifer Sue Lane |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1356321905 PECOS PAC ID: 0244306827 Enrollment ID: I20080904000721 |
| Provider Name | Kira Vonblon |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1467478487 PECOS PAC ID: 6406922095 Enrollment ID: I20080905000074 |
| Provider Name | Robert A Youkilis |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1508814740 PECOS PAC ID: 3971417502 Enrollment ID: I20100913000604 |
| Provider Name | Scott A Hackett |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1396703203 PECOS PAC ID: 5799699328 Enrollment ID: I20101012001096 |
| Provider Name | Seth D Bruggers |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1073710133 PECOS PAC ID: 0840468021 Enrollment ID: I20110713000537 |
| Provider Name | Alison M Wyss |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1992009104 PECOS PAC ID: 1759556210 Enrollment ID: I20111212000398 |
| Provider Name | Ashley E Alexander |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1942561402 PECOS PAC ID: 9931363017 Enrollment ID: I20120621000477 |
| Provider Name | Cassandra L Kinney |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1306461371 PECOS PAC ID: 7315363538 Enrollment ID: I20200902000289 |
| Provider Name | Sally Ann Ware |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1346868080 PECOS PAC ID: 2961814348 Enrollment ID: I20201208002056 |
| Provider Name | Brianna Bean |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1407519200 PECOS PAC ID: 2466831755 Enrollment ID: I20220616000576 |
| Mailing Address | Practice Location Address |
|---|---|
| Northside Ent, Inc 12065 Old Meridian Street, Suite 205, Carmel, IN 46032-8772 Ph: (317) 844-5656 | Northside Ent, Inc 12065 Old Meridian St, Suite 205, Carmel, IN 46032-8773 Ph: (317) 844-5656 |
Megan Lynn Herman, AUD, CCC-A Audiologist Medicare: Accepting Medicare Assignments Practice Location: 11725 Illinois St Ste 445, Carmel, IN 46032 Phone: 317-844-7059 Fax: 317-819-0044 | |
Mrs. Sarah Elizabeth Carney, MED FAAA Audiologist Medicare: Not Enrolled in Medicare Practice Location: 11725 N Illinois St, Ste 445, Carmel, IN 46032 Phone: 317-844-7059 Fax: 317-819-0044 | |
Sandy R Stewart, AUD, CCC-A Audiologist Medicare: Not Enrolled in Medicare Practice Location: 11725 N Illinois St, Ste 445, Carmel, IN 46032 Phone: 317-844-7059 Fax: 317-573-4352 | |
Mrs. Jennifer Sue Lane, M.A., CCC-A Audiologist Medicare: Accepting Medicare Assignments Practice Location: 12065 Old Meridian Street, Suite 205, Carmel, IN 46032 Phone: 317-705-2700 Fax: 317-705-2718 | |
Ms. Marcia D. Cox, M.S., CCC-A Audiologist Medicare: Not Enrolled in Medicare Practice Location: 13450 N Meridian St, Carmel, IN 46032 Phone: 317-582-7755 | |
Barbara A Luikart, AUD Audiologist Medicare: Accepting Medicare Assignments Practice Location: 11725 Illinois St Ste 445, Carmel, IN 46032 Phone: 317-844-7059 Fax: 317-819-0044 |