Dr Tina Sample, AUD is a
Audiologist based in Broadview Heights, Ohio. Dr Tina Sample is licensed to practice in Ohio (license number A. 01352) and her current practice location is
3505 E Royalton Rd, Suite 155, Broadview Heights, Ohio. She can be reached at her office (for appointments etc.) via phone at
(440) 546-5424.
NPI number for Dr Tina Sample is 1871879890 and her current mailing address is 3505 E Royalton Rd, Suite 155, Broadview Heights, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1871879890.
Healthcare Provider's Profile
Full Name | Dr Tina Sample |
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Gender | Female |
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Speciality | Audiologist |
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Location | 3505 E Royalton Rd, Broadview Heights, Ohio |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1871879890
- Provider Enumeration Date: 10/24/2011
- Last Update Date: 10/24/2011
Medical Identifiers
Medical identifiers for Dr Tina Sample such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1871879890 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
231H00000X | Audiologist | A. 01352 (Ohio) | 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 Tina Sample 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 Tina Sample, AUD 3505 E Royalton Rd, Suite 155, Broadview Heights, OH 44147-2994 Ph: (440) 546-5424 | Dr Tina Sample, AUD 3505 E Royalton Rd, Suite 155, Broadview Heights, OH 44147-2994 Ph: (440) 546-5424 |
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