Active NPI
Rachel Leblanc, AU.D, CCC-A
- Audiologist
- Midland, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 1601000795
- Practice address
- 801 Joe Mann Blvd Ste H
Midland, MI 48642-8909 - Phone
- (989) 794-5404
- Fax
- (989) 835-8720
- NPI assigned
- May 15, 2018
- Last updated
- Nov 18, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 1601000795 | MI | Primary |
Addresses
Primary practice location
801 Joe Mann Blvd Ste H
Midland, MI 48642-8909
Mailing address
801 Joe Mann Blvd Ste H
Midland, MI 48642-8909
Phone (989) 794-5404
Other names 1
- Rachel Balog
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
715 E Main St
Suite 115
Midland, MI 48640-5488
Phone (989) 486-1457
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Great Lakes Bay Hearing LLC | Audiologist | Current | Accepting new patients |
| GLB ENT PLLC | Current | Accepting new patients | |
| Ear Nose Throat and Plastic Surgery Associates PC | Audiologist | Current | Accepting new patients |
| Steven C Reschak DO PC | Past | Accepting new patients |
Locations
401 S Ballenger Hwy
Flint, MI 48532
Phone (810) 342-1000
3455 Regency Park Dr
Grand Blanc, MI 48439
Phone (810) 694-0600
112 W Wackerly St
Midland, MI 48640
Phone (989) 486-1457
715 E Main St
Ste 115
Midland, MI 48640
Phone (989) 486-1457
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Otology & Neurotology Physician
- Midland, MI
- NPI 1265259618
-
- Otolaryngology Physician
- Grand Blanc, MI
- NPI 1811178684
Audiologist
-
- Audiologist
- Midland, MI
- NPI 1265159545
-
- Otolaryngology Physician
- Grand Blanc, MI
- NPI 1962689786
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637193600000",
"number": "1740770775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 JOE MANN BLVD STE H",
"city": "MIDLAND",
"state": "MI",
"postal_code": "486428909",
"telephone_number": "989-794-5404",
"fax_number": "989-835-8720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 JOE MANN BLVD STE H",
"city": "MIDLAND",
"state": "MI",
"postal_code": "486428909",
"telephone_number": "989-794-5404",
"fax_number": "989-835-8720"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEBLANC",
"first_name": "RACHEL",
"credential": "AU.D, CCC-A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-15",
"last_updated": "2021-11-18",
"certification_date": "2021-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "MI",
"license": "1601000795",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "RACHEL",
"last_name": "BALOG",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Midland, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2021; 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.