Lauren Benoit, AU.D
Individual provider Active NPI Audiologist · Crystal River, FL
NPI 1801457403 · NPPES record last updated Jun 25, 2019
Key facts
- NPI
- 1801457403
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Audiologist 231H00000X
- License
- AY2294 (FL)
- Practice address
- 700 SE 5TH Ter Ste 11
Crystal River, FL 34429-4877 - Phone
- (352) 795-5700
- Fax
- (352) 795-8663
- NPI assigned
- Jun 25, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Qualified Audiologist
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Dan Gardner Inc
Practice addresses (Care Compare)
6615 Gunn Hwy
Tampa, FL 33625-4056
Phone (813) 265-2255
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190723003241 | FL | Practitioner - Qualified Audiologist | 5597091926 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles (2 of 4)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dan Gardner Inc | Audiologist | Current |
Accepting new patients |
| Audiology Distribution, LLC | Past | Accepting new patients |
Locations
700 SE 5th Ter
Ste 11
Crystal River, FL 34429
Phone (352) 795-5377
790 SE 5th Ter
Ste B
Crystal River, FL 34429
Phone (352) 795-5700
8520 Government Dr
Ste 1
New Port Richey, FL 34654
Phone (727) 967-2387
13005 Spring Hill Dr
Spring Hill, FL 34609
Phone (352) 555-5257
1265 Kass Cir
Spring Hill, FL 34606
Phone (352) 334-0955
6615 Gunn Hwy
Tampa, FL 33625
Phone (800) 277-1182
6215 Abbott Station Dr
Ste 105
Zephyrhills, FL 33542
Phone (813) 782-5395
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | AY2294 | FL | Yes |
Addresses
Primary practice location
700 SE 5TH Ter Ste 11
Crystal River, FL 34429-4877
Mailing address
6615 Gunn Hwy
Tampa, FL 33625-4056
Phone (813) 265-2255
Other practice location 1
13005 Spring Hill Dr
Spring Hill, FL 34609-5048
Phone (352) 556-5257
Other practice location 2
6615 Gunn Hwy
Tampa, FL 33625-4056
Phone (813) 265-2255
Other providers in Crystal River, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 25, 2019. 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.