Jana Lee Brown, AUD

Individual provider Active NPI Audiologist · Lavale, MD

NPI 1467579722 · NPPES record last updated Jul 9, 2007

Key facts

NPI
1467579722
Entity type
Individual (NPI type 1)
Primary specialty
Audiologist 231H00000X
License
00586 (MD)
Practice address
938 National Hwy
Lavale, MD 21502-7326
Phone
(301) 729-1635
Fax
(301) 729-1697
NPI assigned
Mar 23, 2007
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare Care Compare profile

Specialty
Qualified Audiologist
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allegany Hearing and Balance LLC (7 clinicians)

Practice addresses (Care Compare)

938 National Hwy
Lavale, MD 21502-7326
Phone (301) 729-1635

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MD

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20040708001458 MD Practitioner - Qualified Audiologist 5496658643 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Allegany Hearing and Balance, LLC Audiologist Current
since Jan 1, 2004
Accepting new patients

Locations

952 Seton Dr
Ste 101
Cumberland, MD 21502
Phone (301) 759-4555

938 National Hwy
Lavale, MD 21502
Phone (301) 729-1635

888 Memorial Dr
Lowr
Oakland, MD 21550
Phone (301) 334-1018

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 00586 MD Yes

Addresses

Primary practice location

938 National Hwy
Lavale, MD 21502-7326

Mailing address

938 National Hwy
Lavale, MD 21502-7326
Phone (301) 729-1635

Other identifiers

IdentifierTypeStateIssuer
2429537OtherUNITED HEALTHCARE
J813 0001OtherMDGHMSI & BLUECHOICE
3147768OtherMAMSI
529011OtherMDCAREFIRST OF MD

Other providers in Lavale, MD

All providers in Lavale, MD · Audiologist in Maryland

Sources for this page

Verify at the official NPI Registry.