Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mary Beth Mucklow, AUD

Individual provider Specialist · NPI 1720257124

Mary Beth Mucklow, AUD is a Qualified Audiologist in New Albany, Indiana. Qualified in 2007, 19 years ago. Practices with Advanced ENT and Allergy PLLC, a 38-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Indiana and Kentucky.

Years since qualifying
19
Licensed in
IN, KY
In the registry since
2008
Specialties on file
3
What do these letters mean?
AUD — Doctor of Audiology
A hearing specialist who tests hearing and fits hearing aids.

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Practice location Address checks out

108 W Daisy Ln
New Albany, IN 47150-4537
Phone: (502) 893-0159
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 301 Gordon Gutmann Blvd Ste 402, Jeffersonville, IN 47130-3768 — (502) 893-0159
  • 2125 State St, New Albany, IN 47150-4988 — (812) 945-3557

Specialties & licences

Audiologist (primary) Taxonomy 231H00000X · Licence 23002305A (IN)
Specialist Taxonomy 174400000X · Licence 0520 (KY)
Otolaryngology Physician Taxonomy 207Y00000X · Licence 0520 (KY)

Record details

NPI number1720257124
Entity typeIndividual (Type 1)
GenderFemale
Credentials AUD
Sole proprietorNo
NPI enumeratedFebruary 29, 2008
Last updated in NPPESNovember 15, 2022
Certification dateNovember 15, 2022
Mailing address2944 Breckenridge Ln, Louisville, KY 40220-1409

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED AUDIOLOGIST
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Advanced Ent And Allergy Pllc — 38 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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