Mr Kevin Kristalovich, AUD, CCC-A in Goodyear, AZ

Mr Kevin Kristalovich, AUD, CCC-A is a medicare enrolled "Audiologist" provider in Goodyear, Arizona. His current practice location is 2700 N 140th Ave, Ste 107, Goodyear, Arizona. You can reach out to his office (for appointments etc.) via phone at (623) 535-8770.

Mr Kevin Kristalovich is licensed to practice in Arizona (license number DA2024) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1083665798.

Contact Information

	Mr Kevin Kristalovich, AUD, CCC-A
	2700 N 140th Ave, Ste 107, Goodyear, AZ 85395
	(623) 535-8770
	(623) 535-8771

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Kevin Kristalovich
Gender	Male
Speciality	Audiologist
Location	2700 N 140th Ave, Goodyear, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1083665798
Provider Enumeration Date: 05/15/2006
Last Update Date: 11/13/2013

Medicare PECOS Information:

PECOS PAC ID: 1557372059
Enrollment ID: I20060517000031

Medical Identifiers

Medical identifiers for Mr Kevin Kristalovich such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083665798	NPI	-	NPPES
948929	Medicaid	AZ

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
231H00000X	Audiologist	DA2024 (Arizona)	Primary

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. Mr Kevin Kristalovich allows following entities to bill medicare on his behalf.

Provider Name	Advanced Ear Nose And Throat Associates Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1235120411 PECOS PAC ID: 2163407453 Enrollment ID: O20040621001744

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. Mr Kevin Kristalovich 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
Mr Kevin Kristalovich, AUD, CCC-A Po Box 12550, Belfast, ME 04915-4016 Ph: (623) 535-8770	Mr Kevin Kristalovich, AUD, CCC-A 2700 N 140th Ave, Ste 107, Goodyear, AZ 85395 Ph: (623) 535-8770

Reviews and Comments

Audiologist in Goodyear, AZ

Beth Ilene Sanchez, AU.D. Audiologist Medicare: Accepting Medicare Assignments Practice Location: 13555 W Mcdowell Rd Ste 209, Goodyear, AZ 85395 Phone: 623-512-4176 Fax: 623-512-4199
Tania Edwards, AUDD Audiologist Medicare: Accepting Medicare Assignments Practice Location: 2700 N 140th Ave Ste 107, Goodyear, AZ 85395 Phone: 623-535-8770 Fax: 623-535-8771
Freedom Audiology Audiologist Medicare: Medicare Enrolled Practice Location: 15655 W Roosevelt St Ste 216, Goodyear, AZ 85338 Phone: 623-696-5817 Fax: 623-321-8009
Aryannah Aisha Adam, AUD Audiologist Medicare: Medicare Enrolled Practice Location: 13555 W Mcdowell Rd Ste 202, Goodyear, AZ 85395 Phone: 623-512-4100 Fax: 623-512-4107
Dr. Cherilyn L Larson, AUD, CCC-A Audiologist Medicare: Not Enrolled in Medicare Practice Location: 13555 W Mcdowell Rd, Suite 202, Goodyear, AZ 85395 Phone: 623-512-4100 Fax: 623-512-4107
Sadaf Fateh, AU.D Audiologist Medicare: Accepting Medicare Assignments Practice Location: 13555 W Mcdowell Rd Ste 209, Goodyear, AZ 85395 Phone: 623-512-4199 Fax: 623-512-4176

Mr Kevin Kristalovich, AUD, CCC-A - Medicare Audiologist in Goodyear, AZ