Melissa Collard, AUD
Individual provider Active NPI Audiologist · Hancock, MI
NPI 1013173533 · NPPES record last updated Mar 22, 2011
Key facts
- NPI
- 1013173533
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Audiologist 231H00000X
- License
- 1601000516 (MI)
- Practice address
- 500 Campus Drive
Hancock, MI 49930-1569 - Phone
- (906) 483-1137
- Fax
- (906) 483-1457
- NPI assigned
- Aug 4, 2008
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Qualified Audiologist
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Upper Peninsula Audiology Inc
Practice addresses (Care Compare)
801 W Memorial Rd
Houghton, MI 49931-2435
Phone (906) 523-7120
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100824000662 | MI | Practitioner - Qualified Audiologist | 5698899946 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1601000516 | MI | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Upper Peninsula Audiology Inc. | Audiologist | Current |
Accepting new patients |
| Daniel Reminga DPM PLLC | Past | Accepting new patients |
Locations
901 W Sharon Ave
Ste 9
Houghton, MI 49931
Phone (269) 303-5333
801 W Memorial Rd
Houghton, MI 49931
Phone (906) 482-9950
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 1601000516 | MI | Yes |
Addresses
Primary practice location
500 Campus Drive
Hancock, MI 49930-1569
Mailing address
500 Campus Drive
Hancock, MI 49930-1569
Phone (906) 483-1137
Other providers in Hancock, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 22, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.