| Regan Bolt, AUD | |
|
9000 W Sura Ln, Greenfield, WI 53228-3477 | |
| (414) 246-6800 | |
| Not Available |
| Full Name | Regan Bolt |
|---|---|
| Gender | Female |
| Speciality | Audiologist |
| Location | 9000 W Sura Ln, Greenfield, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417706490 | NPI | - | NPPES |
| 100281767 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 231H00000X | Audiologist | 1065-156 (Wisconsin) | Primary |
| Provider Name | Aurora Medical Group, Inc. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725 |
| Provider Name | Lakeshore Medical Clinic Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1003861188 PECOS PAC ID: 7719890730 Enrollment ID: O20031106000481 |
| Provider Name | Aurora Advanced Healthcare, Inc. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1265629133 PECOS PAC ID: 3375625833 Enrollment ID: O20080123000694 |
| Mailing Address | Practice Location Address |
|---|---|
| Regan Bolt, AUD Po Box 735044, Chicago, IL 60673-5044 Ph: (800) 326-2250 | Regan Bolt, AUD 9000 W Sura Ln, Greenfield, WI 53228-3477 Ph: (414) 246-6800 |
Mrs. Rebecca Lynn Landgraf, MA CCCA Audiologist Medicare: Accepting Medicare Assignments Practice Location: 4448 W Loomis Rd, Greenfield, WI 53220 Phone: 414-281-5150 | |
Dr. Jayna Griesbach, AU.D. Audiologist Medicare: Accepting Medicare Assignments Practice Location: 4600 W Loomis Rd Ste 201, Greenfield, WI 53220 Phone: 414-281-4466 | |
Ms. Linda Jean Barbian, M.S., CCC-A Audiologist Medicare: Accepting Medicare Assignments Practice Location: 4448 W Loomis Rd, Greenfield, WI 53220 Phone: 414-817-3444 | |
Dr. Timothy Kuckuk, AU.D. Audiologist Medicare: Accepting Medicare Assignments Practice Location: 4600 W Loomis Rd, Greenfield, WI 53220 Phone: 414-281-4466 Fax: 414-281-4564 | |
Dr. Douglas A. Kloss, AU.D. Audiologist Medicare: Medicare Enrolled Practice Location: 4818 S 76th St, Suite 3, Greenfield, WI 53220 Phone: 414-281-8300 | |
Michelle J Wadewitz, AU.D. Audiologist Medicare: Accepting Medicare Assignments Practice Location: 4448 W Loomis Rd, Greenfield, WI 53220 Phone: 414-281-5150 |