Healthcare Provider's Profile
Full Name | |
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Type | Facility |
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Speciality | Hearing Aid Equipment |
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Location | 115 N Palafox St, Pensacola, Florida |
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Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1508912924
- Provider Enumeration Date: 01/26/2007
- Last Update Date: 11/10/2016
Medical Identifiers
Medical identifiers for
such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1508912924 | NPI | - | NPPES |
T-0094 | Other | FL | BCBS |
085155800 | Medicaid | FL | |
161297600 | Other | FL | ACS PROVIDER NUMBER |
085429800 | Medicaid | FL | |
085155802 | Medicaid | FL | |
J-0195 | Other | FL | UAW |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
231H00000X | Audiologist | AY1294 (Florida) | Secondary |
235500000X | Specialist/technologist | AY1294 (Florida) | Secondary |
235500000X | Specialist/technologist | AS 1379 (Florida) | Secondary |
237600000X | Audiologist-hearing Aid Fitter | AY1294 (Florida) | Secondary |
237700000X | Hearing Instrument Specialist | AS 1379 (Florida) | Secondary |
332B00000X | Durable Medical Equipment & Medical Supplies | AS 1379 (Florida) | Secondary |
332S00000X | Hearing Aid Equipment | AS 1379 (Florida) | Primary |
332S00000X | Hearing Aid Equipment | AY1294 (Florida) | Secondary |
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. 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 |
115 N Palafox St, Pensacola, FL 32502-4838 Ph: (850) 438-4092 | 115 N Palafox St, Pensacola, FL 32502-4838 Ph: (850) 438-4092 |
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