Marlene A Bevan, PHD

Primary specialty

Audiologist-Hearing Aid FitterTaxonomy code 237600000X

Practice address

872 Munson Ave Ste D
Traverse City, MI 49686-3638

Phone

(231) 238-3111

Fax

(231) 238-3214

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 2

Addresses

Other identifiers 7

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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.

• Audicare Hearing Centers Inc.

  • Audiologist-Hearing Aid Fitter
  • Traverse City, MI
  • NPI 1932144425
  Medicare reassignment 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": "1576540800000",
    "number": "1679518153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "872 MUNSON AVE",
            "address_2": "STE D",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496863638",
            "telephone_number": "231-938-3111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "872 MUNSON AVE STE D",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496863638",
            "telephone_number": "231-238-3111",
            "fax_number": "231-238-3214"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "829 W Main St Ste C1",
            "address_purpose": "LOCATION",
            "city": "Gaylord",
            "state": "MI",
            "postal_code": "497351998",
            "country_code": "US",
            "telephone_number": "989-705-2100",
            "fax_number": "989-705-2220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEVAN",
        "first_name": "MARLENE",
        "middle_name": "A",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-18",
        "last_updated": "2019-12-17",
        "certification_date": "2019-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "540B802900",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "640B827240",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "804707456",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "804707465",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "903380558",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "902575198",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "804707447",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brody David Bess
• Best Medical Services PLC
• Charles William Bethea, PHD
• Better Days Physical Therapy and Wellness, LLC
• Kristin E Betts, NP
• Robert Allen Bevier, PHD
• Sandra Beyer, OT
• Stacey Lesnick Beyer, OTR
• Rene Lynn Beyette, LPC
• Flora Ermenia Biancalana, MD

• Audiologist-Hearing Aid Fitter in Traverse City, MI
• Providers in Traverse City, 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 Dec 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.