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 |
|---|
| Gender | Female |
|---|
| Speciality | Audiologist |
|---|
| Location | 3505 E Royalton Rd, Broadview Heights, Ohio |
|---|
| 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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