| 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 |
|---|---|
| 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 |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1194700922 PECOS PAC ID: 5092816942 Enrollment ID: I20070726000485 |
| Provider Name | Kathryn Alba |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1932517661 PECOS PAC ID: 6002196730 Enrollment ID: I20161214002128 |
| Mailing Address | Practice Location Address |
|---|---|
| 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 |
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 | |
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 |