| Samuel Pennington, AUD | |
|
7373 W Jefferson Ave Ste 302, Lakewood, CO 80235-2021 | |
| (303) 988-7299 | |
| Not Available |
| Full Name | Samuel Pennington |
|---|---|
| Gender | Male |
| Speciality | Audiologist |
| Location | 7373 W Jefferson Ave Ste 302, Lakewood, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467137844 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 231H00000X | Audiologist | AUD.0001210 (Colorado) | Primary |
| Provider Name | Modern Audiology |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1487194940 PECOS PAC ID: 8921385618 Enrollment ID: O20170505001752 |
| Mailing Address | Practice Location Address |
|---|---|
| Samuel Pennington, AUD 944 Irving St, Denver, CO 80204-3144 Ph: (312) 852-3342 | Samuel Pennington, AUD 7373 W Jefferson Ave Ste 302, Lakewood, CO 80235-2021 Ph: (303) 988-7299 |
Breanna Koncak, AU.D, CCC-A Audiologist Medicare: Not Enrolled in Medicare Practice Location: 2405 Wadsworth Blvd, Lakewood, CO 80214 Phone: 303-237-4967 | |
Drew Price, AU.D Audiologist Medicare: Not Enrolled in Medicare Practice Location: 10881 W Asbury Ave, Ste 110, Lakewood, CO 80227 Phone: 303-985-4423 Fax: 303-985-4459 | |
Professional Hearing Services Corp. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 2405 Wadsworth Blvd, Lakewood, CO 80214 Phone: 303-237-4967 Fax: 303-237-4966 | |
Dr. Jeff Baller, AU.D., CCC-A Audiologist Medicare: Accepting Medicare Assignments Practice Location: 2405 Wadsworth Blvd, Lakewood, CO 80214 Phone: 303-237-4967 Fax: 303-237-4966 | |
Elizabeth Ann Gordon, AU.D., CCC-A Audiologist Medicare: Accepting Medicare Assignments Practice Location: 11700 W 2nd Pl, Suite 435, Lakewood, CO 80228 Phone: 720-321-8410 Fax: 720-321-8411 | |
Mary Todd Moseley, AUD Audiologist Medicare: Accepting Medicare Assignments Practice Location: 2405 Wadsworth Blvd, Lakewood, CO 80214 Phone: 303-237-4967 | |
Mr. David A Ives Ii, MA CCC-A Audiologist Medicare: Not Enrolled in Medicare Practice Location: 7586 W Jewell Ave Ste 2-201, Lakewood, CO 80232 Phone: 303-716-1177 Fax: 303-716-0253 |