MEDICARE: HEARING CARE CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	237700000X	Hearing Instrument Specialist	598	NC
2	231H00000X	Audiologist	6712	NC
3	231H00000X	Audiologist	4289	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	045HV	OTHER	NC	BCBS
2	7640200	OTHER	NC	AETNA
3	2723795	OTHER	NC	AETRNA
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	#01629	OTHER	NC	BCBS
6	42343	OTHER	NC	PARTNERS

General Provider Information

NPI Number	:	1508857228
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEARING CARE CENTER

Provider Business Mailing Address
First Line	:	3111 MAPLEWOOD AVE
Second Line	:	SUITE 107
City	:	WINSTON SALEM
State	:	NC
Zip	:	27103-3906
Country	:	US
Telephone Number	:	336-659-9569
Fax Number	:	336-768-8379

Provider Business Practice Location Address
First Line	:	3111 MAPLEWOOD AVE
Second Line	:	SUITE 107
City	:	WINSTON SALEM
State	:	NC
Zip	:	27103-3906
Country	:	US
Telephone Number	:	336-659-9569
Fax Number	:	336-768-8379

Authorized Official
Title or Position	:	OWNER
Name	:	CAROL M REXRODE
Credential	:
Telephone Number	:	336-659-9569

Provider Enumeration Date	:	11/02/2005
Last Update Date	:	06/10/2010

Similar Medicare Providers

1801851506 — DR. BEVERLY NICHOLAS JONES MD
Practice Location Address:

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WINSTON SALEM, NC
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1750323705 — DR. BERT BENNETT III PH.D.
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27103-3906

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1184719841 — NANCY B LONG LCSW
Practice Location Address:

3111 MAPLEWOOD AVE , SUITE 105
WINSTON SALEM, NC
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1972652469 — BEVERLY N JONES III MD PA
Practice Location Address:

3111 MAPLEWOOD AVE , SUITE 105
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1285774166 — DR. J GRADY ELLIOTT O.D.
Practice Location Address:

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27103-3906

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Directions to “HEARING CARE CENTER ” Practice Location

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