Hearwell LLC
Organization Active NPI Hearing and Speech Clinic/Center · Wynantskill, NY
NPI 1245899822 · NPPES record last updated Jan 26, 2022
Key facts
- NPI
- 1245899822
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Hearing and Speech Clinic/Center 261QH0700X
- Legal business name
- HEARWELL LLC
- Practice address
- 9 W Sand Lake Rd
Wynantskill, NY 12198-7954 - Phone
- (518) 326-1742
- Fax
- (518) 326-1745
- NPI assigned
- Jun 7, 2019
- Organization subpart
- No
Authorized official
- Name
- Dr. Patrick Paul Bergmann, AUD
- Title
- Dr. of Audiology
- Phone
- (518) 326-1742
Practitioners 3
-
Patrick Paul Bergmann, MS,CCC
-
Victoria Lynn Harris, AU.D. DOCTOR OF AUDI
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200122001661 | NY | Part B Supplier - Clinic/Group Practice | 5597190512 |
Receives reassigned benefits from 3 practitioners Practice locations: Albany, NY; Troy, NY |
National Provider Directory
Locations
9 W Sand Lake Rd
Wynantskill, NY 12198
Phone (518) 283-1974
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing and Speech Clinic/Center | 261QH0700X | Yes |
Addresses
Primary practice location
9 W Sand Lake Rd
Wynantskill, NY 12198-7954
Mailing address
9 W Sand Lake Rd
Wynantskill, NY 12198-7954
Phone (518) 326-1742
Other practice location 1
4 Palisades Dr Ste 200
Albany, NY 12205-1443
Phone (518) 599-0068
Other names
- Capital Region Hearing
Other providers in Wynantskill, NY
- Michele Guy
- Jessica Ashley Haberland
- Jennifer Anne Hamilton
- Donna Elizabeth Hanley
- Timothy Fitzgerald Healey
- Kelly M Holter
- Marianne Shoen Hunter
- Annie Dorothea Johnson
- Shannon Helene Johnson
- Yomecia Dewan Johnston
All providers in Wynantskill, NY · Hearing and Speech Clinic/Center in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 26, 2022. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.