Luke John Emberlin, AU.D.
Individual provider Active NPI Audiologist · Belgrade, MT
NPI 1124365754 · NPPES record last updated Jul 16, 2021
Key facts
- NPI
- 1124365754
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Audiologist 231H00000X
- License
- 2544 (MT)
- Practice address
- 23 E. Main St. Unit a
Belgrade, MT 59714 - Phone
- (406) 296-4327
- Fax
- (406) 296-4328
- NPI assigned
- Jan 16, 2013
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Qualified Audiologist
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
23 E Main St
Unit a
Belgrade, MT 59714-3714
Phone (406) 296-4327
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210908000819 | MT | Practitioner - Qualified Audiologist | 6406001395 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2544 | MT | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bridge Hearing Center, LLC | Audiologist | Current |
Accepting new patients |
Locations
23 E Main St
Unit A
Belgrade, MT 59714
Phone (406) 296-4327
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 2544 | MT | Yes |
Addresses
Primary practice location
23 E. Main St. Unit a
Belgrade, MT 59714
Mailing address
23 E. Main St. Unit a
Belgrade, MT 59714
Phone (406) 296-4327
Other providers in Belgrade, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 16, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.