| Lindsay Anne Tucker, AUD | |
|
650 Memorial Dr, Pocatello, ID 83209-0001 | |
| (208) 233-4339 | |
| Not Available |
| Full Name | Lindsay Anne Tucker |
|---|---|
| Gender | Female |
| Speciality | Audiologist |
| Location | 650 Memorial Dr, Pocatello, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528376282 | NPI | - | NPPES |
| 1366570244 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 231H00000X | Audiologist | DA12263 (Arizona) | Secondary |
| 231H00000X | Audiologist | AUD-2000 (Idaho) | Primary |
| Provider Name | Arizona Ear Center Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1366570244 PECOS PAC ID: 5294713442 Enrollment ID: O20040713000696 |
| Mailing Address | Practice Location Address |
|---|---|
| Lindsay Anne Tucker, AUD 2627 N 3rd St, Phoenix, AZ 85004-1113 Ph: (208) 202-0402 | Lindsay Anne Tucker, AUD 650 Memorial Dr, Pocatello, ID 83209-0001 Ph: (208) 233-4339 |
Jeff E Brockett, ED.D Audiologist Medicare: Accepting Medicare Assignments Practice Location: 650 Memorial Dr Bldg 68, Pocatello, ID 83209 Phone: 208-282-2556 | |
Dr. Makenzi Gwinn, AU.D. Audiologist Medicare: Accepting Medicare Assignments Practice Location: 777 Hospital Way Ste 115, Pocatello, ID 83201 Phone: 208-239-1960 Fax: 208-478-0076 | |
Mr. Edward Gregory Smith, M.S., CCC-A Audiologist Medicare: Not Enrolled in Medicare Practice Location: 921 S 8th Ave Stop 8116, Pocatello, ID 83209 Phone: 208-282-3495 Fax: 208-282-4571 | |
Dr. Jennifer Holst, AU.D. Audiologist Medicare: Medicare Enrolled Practice Location: Idaho State University, 921 S. 8th Stop 8116, Pocatello, ID 83209 Phone: 208-282-3747 | |
Dr. Mary M. Whitaker, AU.D. Audiologist Medicare: Medicare Enrolled Practice Location: 650 Memorial Drive, Bldg 68, Pocatello, ID 83209 Phone: 208-282-2190 | |
Dr. Alisa Vineyard, AU.D. Audiologist Medicare: Accepting Medicare Assignments Practice Location: 2350 Via Caporatti Dr, Suite B, Pocatello, ID 83201 Phone: 208-237-5322 |