Marcus P Kolmetz, MA CCCA

Primary specialty

AudiologistTaxonomy code 231H00000X

License

AY1111 Issued in FL

Practice address

2518 S Highway 77 Ste a
Lynn Haven, FL 32444-4730

Phone

(850) 769-2705

Fax

(850) 769-1097

NPI assigned

Sep 7, 2005

Sex

Male

Sole proprietor

No

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Audiology Consultants PA of Panama City

  • Audiologist
  • Lynn Haven, FL
  • NPI 1306068523

  Audiologist, FL

  Medicare reassignment NPD Authorized official

Specialty

Qualified Audiologist

Education

University of Tennessee, HSC, College of Medicine, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in FL

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 23, 2020.

{
    "created_epoch": "1126051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587600000000",
    "number": "1497749303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2518 S HIGHWAY 77 STE A",
            "city": "LYNN HAVEN",
            "state": "FL",
            "postal_code": "324444730",
            "telephone_number": "850-769-2705",
            "fax_number": "850-769-1097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2518 S HIGHWAY 77 STE A",
            "city": "LYNN HAVEN",
            "state": "FL",
            "postal_code": "324444730",
            "telephone_number": "850-769-2705",
            "fax_number": "850-769-1097"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "724 W 19th St",
            "address_purpose": "LOCATION",
            "city": "Panama City",
            "state": "FL",
            "postal_code": "324054101",
            "country_code": "US",
            "telephone_number": "850-769-0278",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOLMETZ",
        "first_name": "MARCUS",
        "middle_name": "P",
        "credential": "MA CCCA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-07",
        "last_updated": "2020-04-23",
        "certification_date": "2020-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "FL",
            "license": "AY1111",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "600330300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Kelley
• Aymen Ahmed Kenawy, M.D.
• Sohail M Khan, M.D.
• Mary Ann Kirby
• Leslie Klinck
• Jill Labrie
• Language and Learning Time, Inc.
• Heather McCue Lasecki, LCSW
• April Lawhorn, MS, BCBA
• Hoang Le, PHARMD

• All providers in Lynn Haven, FL
• Audiologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.