Carver Gray Dethloff, AUD in Fort Walton Beach, FL - Medicare Qualified Audiologist Provider

Carver Gray Dethloff, AUD is a medicare enrolled "Audiologist" provider in Fort Walton Beach, Florida. He graduated from medical school in 2003 and has 23 years of diverse experience with area of expertise as Qualified Audiologist. He is a member of the group practice Emerald Coast Audiology Pa and his current practice location is 11 Racetrack Rd Ne Ste E4, Fort Walton Beach, Florida. You can reach out to his office (for appointments etc.) via phone at (850) 315-4141.

Carver Gray Dethloff is licensed to practice in Florida (license number AY1018) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1194700922.

Contact Information

	Carver Gray Dethloff, AUD
	11 Racetrack Rd Ne Ste E4, Fort Walton Beach, FL 32547-1867
	(850) 315-4141
	(850) 226-8242

Map and Direction

Healthcare Provider's Profile

Full Name	Carver Gray Dethloff
Gender	Male
Speciality	Qualified Audiologist
Experience	23 Years
Location	11 Racetrack Rd Ne Ste E4, Fort Walton Beach, Florida
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Carver Gray Dethloff graduated from medical school in 2003

NPI Data:

NPI Number: 1194700922
Provider Enumeration Date: 12/14/2005
Last Update Date: 07/21/2020

Medicare PECOS Information:

PECOS PAC ID: 5092816942
Enrollment ID: I20070726000485

Medical Identifiers

Medical identifiers for Carver Gray Dethloff such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194700922	NPI	-	NPPES
S9298	Other	FL	BCBS
600389300	Medicaid	FL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
231H00000X	Audiologist	AY1018 (Florida)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Emerald Coast Audiology Pa	5496855660	2

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Carver Gray Dethloff allows following entities to bill medicare on his behalf.

Provider Name	Emerald Coast Audiology Pa
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1063521698 PECOS PAC ID: 5496855660 Enrollment ID: O20070717000599

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. Carver Gray Dethloff is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Carver Gray Dethloff, AUD 11 Racetrack Rd Ne Ste E4, Fort Walton Beach, FL 32547-1867 Ph: (850) 315-4141	Carver Gray Dethloff, AUD 11 Racetrack Rd Ne Ste E4, Fort Walton Beach, FL 32547-1867 Ph: (850) 315-4141

Reviews and Comments

Audiologist in Fort Walton Beach, FL

Dr. Kelsey Lauren Money, AUD Audiologist Medicare: Not Enrolled in Medicare Practice Location: 310 Racetrack Rd Nw, Fort Walton Beach, FL 32547 Phone: 850-889-4550
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
Emerald Coast Audiology Pa Audiologist Medicare: Medicare Enrolled 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

Carver Gray Dethloff, AUD - Medicare Audiologist in Fort Walton Beach, FL