Mariela Chavira, AUD is a medicare enrolled "Audiologist" provider in Brighton, Colorado. Her current practice location is
195 Telluride St Unit 3, Brighton, Colorado. You can reach out to her office (for appointments etc.) via phone at
(303) 857-6688.
Mariela Chavira is licensed to practice in Colorado (license number AUD.0001162) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1235865650.
Healthcare Provider's Profile
| Full Name | Mariela Chavira |
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| Gender | Female |
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| Speciality | Audiologist |
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| Location | 195 Telluride St Unit 3, Brighton, Colorado |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1235865650
- Provider Enumeration Date: 07/27/2022
- Last Update Date: 09/16/2024
Medicare PECOS Information:
- PECOS PAC ID: 2567831126
- Enrollment ID: I20221205000556
Medical Identifiers
Medical identifiers for Mariela Chavira such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1235865650 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 231H00000X | Audiologist | AUD.0001162 (Colorado) | Primary |
| 237600000X | Audiologist-hearing Aid Fitter | AUD.0001162 (Colorado) | Secondary |
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. Mariela Chavira allows following entities to bill medicare on her behalf.
| Provider Name | Longs Peak Audiology Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1528618428
PECOS PAC ID: 8224417852
Enrollment ID: O20220628001047 |
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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. Mariela Chavira 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 Address | Practice Location Address |
|---|
Mariela Chavira, AUD
3100 Remington St,
Fort Collins, CO 80525-2602
Ph: (970) 266-8380 | Mariela Chavira, AUD
195 Telluride St Unit 3,
Brighton, CO 80601-4358
Ph: (303) 857-6688 |
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