Princeton Audiology Clinic Inc
A Medicare group practice based in Princeton, WV: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 1052300357), with 4 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 1052300357
- Provider type
- Part B Supplier - Clinic/Group Practice
- Enrolled in
- WV
- Enrollments
- 1
- Group size
- 2 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 1
Enrollment records 1
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20040511001102 | WV | Part B Supplier - Clinic/Group Practice | 1073580817 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Princeton Audiology Clinic, Inc.,
- Hearing Aid Equipment
- Princeton, WV
- NPI 1073580817
-
Princeton Audiology Clinic, Inc.,
- Audiologist
- Bluefield, WV
- NPI 1598981524
Practice locations
- Princeton, WV1
Clinicians 4
Clinicians who reassign their Medicare benefits to this group (4) or whom Care Compare lists as members (2).
-
Alan Louis Desmond, AUD CCC-A
- Audiologist
- Princeton, WV
- NPI 1275501439
-
Sharon Lynne Jividen, MS CCCA
- Audiologist
- Princeton, WV
- NPI 1609843440
-
Tara Janae Minnix-Harmon, AU.D., CCC-A
- Audiologist
- Princeton, WV
- NPI 1962799338
-
Lindsey Shea Underwood, AU.D., CCC-A
- Audiologist
- Beckley, WV
- NPI 1831502384
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.