Dr Staci Blackwell, AUD - Medicare Audiologist in Charlotte, NC

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Dr Staci Blackwell, AUD is a medicare enrolled "Audiologist" provider in Charlotte, North Carolina. She graduated from medical school in 2006 and has 18 years of diverse experience with area of expertise as Qualified Audiologist. She is a member of the group practice Novant Medical Group Inc and her current practice location is 125 Baldwin Ave Ste 100, Charlotte, North Carolina. You can reach out to her office (for appointments etc.) via phone at (704) 316-1900.

Dr Staci Blackwell is licensed to practice in North Carolina (license number 7282) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1356516033.

Contact Information

Dr Staci Blackwell, AUD
125 Baldwin Ave Ste 100,
Charlotte, NC 28204-3370
(704) 316-1900
(704) 384-5453

Map and Direction




Healthcare Provider's Profile

Full NameDr Staci Blackwell
GenderFemale
SpecialityQualified Audiologist
Experience18 Years
Location125 Baldwin Ave Ste 100, Charlotte, North Carolina
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Staci Blackwell graduated from medical school in 2006
  NPI Data:
  • NPI Number: 1356516033
  • Provider Enumeration Date: 04/24/2008
  • Last Update Date: 10/25/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 8628144128
  • Enrollment ID: I20080908000201

Medical Identifiers

Medical identifiers for Dr Staci Blackwell such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1356516033NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
231H00000XAudiologist 7282 (North Carolina)Primary
237600000XAudiologist-hearing Aid Fitter 1166 (North Carolina)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Novant Medical Group Inc11532348932023

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Staci Blackwell allows following entities to bill medicare on her behalf.
Provider NameNovant Medical Group Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1366409492
PECOS PAC ID: 1153234893
Enrollment ID: O20031121000692
Provider NameCharlotte Speech And Hearing Center, Inc.
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1578646865
PECOS PAC ID: 1456442169
Enrollment ID: O20070809000753

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 Staci Blackwell is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Staci Blackwell, AUD
Po Box 60447,
Charlotte, NC 28260-0447

Ph: () -		Dr Staci Blackwell, AUD
125 Baldwin Ave Ste 100,
Charlotte, NC 28204-3370

Ph: (704) 316-1900

Reviews and Comments


Audiologist in Charlotte, NC

Brianna L Murphy, AUD
Audiologist
Medicare: Medicare Enrolled
Practice Location: 6035 Fairview Rd, Charlotte, NC 28210
Phone: 704-295-3000    
Cari L Olsen, AUDIOLOGIST
Audiologist
Medicare: Not Enrolled in Medicare
Practice Location: 6035 Fairview Rd, Charlotte, NC 28210
Phone: 704-295-3000    Fax: 704-295-3326
Dr. Kristin Doll Bray, AUD
Audiologist
Medicare: Medicare Enrolled
Practice Location: 6035 Fairview Rd, Charlotte, NC 28210
Phone: 042-953-0007    Fax: 704-295-3468
Alyse Natalie Stempel, AU.D.
Audiologist
Medicare: Accepting Medicare Assignments
Practice Location: 8924 Blakeney Professional Dr, Charlotte, NC 28277
Phone: 704-703-1080    Fax: 704-703-1090
Dr. Carol V Petillo, PHD
Audiologist
Medicare: Accepting Medicare Assignments
Practice Location: 6035 Fairview Rd, Charlotte, NC 28210
Phone: 704-295-3300    Fax: 704-295-3468
Cari Ann El Sheshai, AU.D.
Audiologist
Medicare: Not Enrolled in Medicare
Practice Location: 125 Baldwin Ave Ste 100, Charlotte, NC 28204
Phone: 704-316-1900    
Shannon Lynn Macdonald, AUD
Audiologist
Medicare: Accepting Medicare Assignments
Practice Location: 8924 Blakeney Professional Dr, Charlotte, NC 28277
Phone: 704-703-1080    Fax: 704-703-1090

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.