Dr Austin C Black, AUD is a
Audiologist based in Crestview, Florida. Dr Austin C Black is licensed to practice in Kentucky (license number 0388) and his current practice location is
2670 S Ferdon Blvd Ste 105, Crestview, Florida. He can be reached at his office (for appointments etc.) via phone at
(850) 683-8777.
NPI number for Dr Austin C Black is 1861585978 and his current mailing address is 2670 S Ferdon Blvd Ste 105, Crestview, Florida. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1861585978.
Healthcare Provider's Profile
| Full Name | Dr Austin C Black |
|---|
| Gender | Male |
|---|
| Speciality | Audiologist |
|---|
| Location | 2670 S Ferdon Blvd Ste 105, Crestview, Florida |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1861585978
- Provider Enumeration Date: 10/02/2006
- Last Update Date: 10/24/2023
Medical Identifiers
Medical identifiers for Dr Austin C Black such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1861585978 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 231HA2400X | Audiologist - Assistive Technology Practitioner | 0388 (Kentucky) | Secondary |
| 231HA2500X | Audiologist - Assistive Technology Supplier | 0388 (Kentucky) | Secondary |
| 237600000X | Audiologist-hearing Aid Fitter | 0388 (Kentucky) | Secondary |
| 231H00000X | Audiologist | 0388 (Kentucky) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Austin C Black is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Austin C Black, AUD
2670 S Ferdon Blvd Ste 105,
Crestview, FL 32536-5481
Ph: (850) 683-8777 | Dr Austin C Black, AUD
2670 S Ferdon Blvd Ste 105,
Crestview, FL 32536-5481
Ph: (850) 683-8777 |
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