Ginette Alicia Lezotte, AUD

Primary specialty

Audiologist-Hearing Aid FitterTaxonomy code 237600000X

License

1601000010 Issued in MI

Practice address

20239 Mack Avenue
Grosse Pointe Woods, MI 48236-1769

Phone

(313) 343-5555

Fax

(313) 343-5304

NPI assigned

Jun 18, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 7

Other names 1

• Dr. Ginette Alicia Ruckel Former name

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Grosse Pointe Audiology, LLCGroup PAC ID 8628179322, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Grosse Pointe Audiology, LLC

  • Audiologist
  • Grosse Pointe Woods, MI
  • NPI 1902928864
  Medicare reassignment Care Compare group NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303689600000",
    "number": "1124063615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20239 MACK AVENUE",
            "city": "GROSSE POINTE WOODS",
            "state": "MI",
            "postal_code": "482361769",
            "telephone_number": "313-343-5555",
            "fax_number": "313-343-5304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20239 MACK AVENUE",
            "city": "GROSSE POINTE WOODS",
            "state": "MI",
            "postal_code": "482361769",
            "telephone_number": "313-343-5555",
            "fax_number": "313-343-5304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEZOTTE",
        "first_name": "GINETTE",
        "middle_name": "ALICIA",
        "name_prefix": "Dr.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-18",
        "last_updated": "2011-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "MI",
            "license": "1601000010",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "540H214720",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GREAT LAKES HEALTH",
            "identifier": "126065",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TOTAL HEALTH CARE",
            "identifier": "202114",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "804683505",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "904396202",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ALLIANCE PLAN",
            "identifier": "0N49120",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "640H227080",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GINETTE",
            "last_name": "RUCKEL",
            "middle_name": "ALICIA",
            "prefix": "DR.",
            "credential": "AUD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jennifer Melissa Legge, NP-C
• Daniel J Lehman, M.D.
• Robert Jay Leonard, M.D.
• Claude Charles Lerose Jr., D.D.S.
• Tihara Lewis
• Michael Linebaugh, DDS
• Lisa a Manz Dulac MD & Associates PC
• Lloyd and Boccaccio MD PC
• Adonis N Lorenzana, MD
• Louie Behavioral Insights

• Audiologist-Hearing Aid Fitter in Grosse Pointe Woods, MI
• Providers in Grosse Pointe Woods, MI by specialty
• Audiologist-Hearing Aid Fitter in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.