Theresa S. Delacenserie
NPI 1477585479ActiveIndividual· Audiologist· Wyoming, MI
Audiologist with Michigan Ear Nose Throat and Allergy Specialists PC, practicing in Wyoming, Michigan. Enrolled in Medicare as practitioner - qualified audiologist.
Overview
| NPI | 1477585479 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Jul 7, 2006 |
| Last updated in NPPES | Jun 26, 2024 |
| Certified by provider | Jun 26, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Audiologist Primary | 231H00000X | 1601001097 | MI |
| Audiologist | 231H00000X | 147001192 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Qualified Audiologist (MI) |
|---|
Education and affiliations
| Graduation year | 2004 |
|---|---|
| Medicare specialty | Qualified Audiologist |
Medical group
- Michigan Ear Nose Throat and Allergy Specialists PCGrand Rapids, MI · 43 clinicians
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