Emerald Coast Audiology Pa | |
11 Racetrack Rd Ne Ste E4, Fort Walton Beach, FL 32547-1867 | |
(850) 315-4141 | |
(850) 226-8242 |
Full Name | Emerald Coast Audiology Pa |
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Type | Facility |
Speciality | Audiologist |
Location | 11 Racetrack Rd Ne Ste E4, Fort Walton Beach, Florida |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063521698 | NPI | - | NPPES |
600389300 | Medicaid | FL | |
S9298 | Other | FL | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
231H00000X | Audiologist | AY1018 (Florida) | Primary |
Provider Name | Carver Gray Dethloff |
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Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1194700922 PECOS PAC ID: 5092816942 Enrollment ID: I20070726000485 |
Provider Name | Kathryn Alba |
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Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1932517661 PECOS PAC ID: 6002196730 Enrollment ID: I20161214002128 |
Mailing Address | Practice Location Address |
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Emerald Coast Audiology Pa 11 Racetrack Rd Ne Ste E4, Fort Walton Beach, FL 32547-1867 Ph: (850) 315-4141 | Emerald Coast Audiology Pa 11 Racetrack Rd Ne Ste E4, Fort Walton Beach, FL 32547-1867 Ph: (850) 315-4141 |
Timothy David Skinner, AU.D. Audiologist Medicare: Accepting Medicare Assignments Practice Location: 1005 Mar Walt Drive, Audiology Department, Fort Walton Beach, FL 32547 Phone: 850-863-8232 Fax: 850-314-6833 | |
Carver Gray Dethloff, AU.D. Audiologist Medicare: Accepting Medicare Assignments Practice Location: 11 Racetrack Rd Ne Ste E4, Fort Walton Beach, FL 32547 Phone: 850-315-4141 Fax: 850-226-8242 | |
Dr. Bailey Campbell, AU.D. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 907 Mar Walt Dr Ste 2012, Fort Walton Beach, FL 32547 Phone: 850-659-6334 | |
Nicole Ashley Dues, AUD Audiologist Medicare: Not Enrolled in Medicare Practice Location: 339 Racetrack Rd Nw Suite 20, Fort Walton Beach, FL 32547 Phone: 850-863-4327 | |
Leah Quinn Lewis, AU.D. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 11 Racetrack Rd Ne Ste E4, Fort Walton Beach, FL 32547 Phone: 850-315-4141 | |
Jody Edwards Chesser, AUD Audiologist Medicare: Not Enrolled in Medicare Practice Location: 339 Racetrack Rd Nw Ste 20, Fort Walton Beach, FL 32547 Phone: 850-863-4327 Fax: 850-243-8741 |