Active NPI
Audicare Hearing Centers Inc.
- Audiologist-Hearing Aid Fitter
- Traverse City, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- Legal business name
- AUDICARE HEARING CENTERS INC.
- Practice address
- 4620 US 31 N
Traverse City, MI 49686-3757 - Phone
- (231) 238-3111
- Fax
- (231) 238-3218
- NPI assigned
- Jun 18, 2006
- Last updated
- Jul 10, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Marlene A Bevan, PHD
- Title
- Owner
- Phone
- (231) 238-3111
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist-Hearing Aid Fitter | 237600000X | Primary |
Addresses
Primary practice location
4620 US 31 N
Traverse City, MI 49686-3757
Mailing address
4620 US 31 N
Traverse City, MI 49686-3757
Phone (231) 238-3111
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 804707465 | Medicaid | MI | |
| 903380558 | Medicaid | MI | |
| 540B802900 | Other | MA | BLUE CROSS BLUE SHIELD |
| 640B827240 | Other | MI | BLUE CROSS BLUE SHIELD |
| 804707456 | Medicaid | MI | |
| 902575198 | Medicaid | MI | |
| 904073810 | Medicaid | MI | |
| 804707447 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
145 M 66 N
Charlevoix, MI 49720
Phone (231) 547-3100
829 W Main St
Ste C1
Gaylord, MI 49735
Phone (989) 705-2100
Practitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Audiologist-Hearing Aid Fitter
- Traverse City, MI
- NPI 1679518153
-
- Audiologist
- Grayling, MI
- NPI 1629008990
-
- Hearing Instrument Specialist
- Traverse City, MI
- NPI 1881951465
-
- Hearing Instrument Specialist
- Traverse City, MI
- NPI 1841710407
-
- Audiologist
- Troy, MI
- NPI 1376102277
-
- Audiologist
- Lakewood Ranch, FL
- NPI 1538199807
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150588800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1215648000000",
"number": "1932144425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4620 US 31 N",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496863757",
"telephone_number": "231-238-3111",
"fax_number": "231-238-3218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4620 US 31 N",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496863757",
"telephone_number": "231-238-3111",
"fax_number": "231-238-3218"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AUDICARE HEARING CENTERS INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-18",
"last_updated": "2008-07-10",
"status": "A",
"authorized_official_last_name": "BEVAN",
"authorized_official_first_name": "MARLENE",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "231-238-3111",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "804707465",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "903380558",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "540B802900",
"state": "MA"
},
{
"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": "902575198",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "904073810",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "804707447",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Traverse City, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2008; 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.