| Trisha Kay Hackman, | |
|
4790 Executive Centre Pkwy, Saint Peters, MO 63376-1606 | |
| (636) 441-3100 | |
| (636) 926-8519 |
| Full Name | Trisha Kay Hackman |
|---|---|
| Gender | Female |
| Speciality | Qualified Audiologist |
| Experience | 35 Years |
| Location | 4790 Executive Centre Pkwy, Saint Peters, Missouri |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851567911 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 231H00000X | Audiologist | 103598 (Missouri) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Midwest Ent Centre, Pc | 5597839878 | 12 |
| Provider Name | Midwest Ent Centre, Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1932236650 PECOS PAC ID: 5597839878 Enrollment ID: O20080805000238 |
| Mailing Address | Practice Location Address |
|---|---|
| Trisha Kay Hackman, 4790 Executive Centre Pkwy, Saint Peters, MO 63376-1606 Ph: (636) 441-3100 | Trisha Kay Hackman, 4790 Executive Centre Pkwy, Saint Peters, MO 63376-1606 Ph: (636) 441-3100 |
Kathryn Phillippe, Audiologist Medicare: Not Enrolled in Medicare Practice Location: 4790 Executive Centre Pkwy, Saint Peters, MO 63376 Phone: 636-685-8250 | |
Heather E Phillips, AUD Audiologist Medicare: Accepting Medicare Assignments Practice Location: 4790 Executive Centre Pkwy, Saint Peters, MO 63376 Phone: 636-441-3100 | |
Lori A Norby, M.S., CCC-A, FAAA Audiologist Medicare: Not Enrolled in Medicare Practice Location: 654 River Moss Dr, Saint Peters, MO 63376 Phone: 636-441-5756 | |
Sandi Hopper Fontecchio, AU.D. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 4790 Executive Centre Pkwy, Saint Peters, MO 63376 Phone: 636-441-3100 | |
The Audiology Center, Llc Audiologist Medicare: Medicare Enrolled Practice Location: 4704 Mexico Rd, Saint Peters, MO 63376 Phone: 636-441-7470 | |
Mary Elizabeth Rybak Rice, AU.D. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 4790 Executive Centre Pkwy, Saint Peters, MO 63376 Phone: 636-441-3100 | |
Jane Carol Eppel, Audiologist Medicare: Not Enrolled in Medicare Practice Location: 318 Mid Rivers Mall Dr Ste M, Saint Peters, MO 63376 Phone: 636-397-6966 Fax: 636-397-6836 |