Dr Cole Cameron Stasek, AUD is a
Audiologist based in Ponte Vedra, Florida. Dr Cole Cameron Stasek is licensed to practice in Florida (license number AY2324) and his current practice location is
100 Executive Way Ste 100, Ponte Vedra, Florida. He can be reached at his office (for appointments etc.) via phone at
(586) 945-6694.
NPI number for Dr Cole Cameron Stasek is 1619528353 and his current mailing address is 100 Executive Way Ste 100, Ponte Vedra, Florida. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1619528353.
Healthcare Provider's Profile
Full Name | Dr Cole Cameron Stasek |
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Gender | Male |
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Speciality | Audiologist |
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Location | 100 Executive Way Ste 100, Ponte Vedra, Florida |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1619528353
- Provider Enumeration Date: 09/24/2019
- Last Update Date: 09/24/2019
Medical Identifiers
Medical identifiers for Dr Cole Cameron Stasek such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1619528353 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
231H00000X | Audiologist | AY2324 (Florida) | 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 Cole Cameron Stasek 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 Cole Cameron Stasek, AUD 100 Executive Way Ste 100, Ponte Vedra, FL 32082-2713 Ph: (586) 945-6694 | Dr Cole Cameron Stasek, AUD 100 Executive Way Ste 100, Ponte Vedra, FL 32082-2713 Ph: (586) 945-6694 |
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