Dr Staci Elizabeth Petralba, AUD in Las Vegas, NV - Medicare Qualified Audiologist Provider

Dr Staci Elizabeth Petralba, AUD is a medicare enrolled "Audiologist" provider in Las Vegas, Nevada. She went to East Tennessee State University Quillen College Of Medicine and graduated in 2015 and has 9 years of diverse experience with area of expertise as Qualified Audiologist. She is a member of the group practice Las Fyzical Llc and her current practice location is 401 N Buffalo Dr Ste 120, Las Vegas, Nevada. You can reach out to her office (for appointments etc.) via phone at (702) 880-1515.

Dr Staci Elizabeth Petralba is licensed to practice in Nevada (license number A-2261) 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 1184007692.

Contact Information

	Dr Staci Elizabeth Petralba, AUD
	401 N Buffalo Dr Ste 120, Las Vegas, NV 89145-0397
	(702) 880-1515
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Staci Elizabeth Petralba
Gender	Female
Speciality	Qualified Audiologist
Experience	9 Years
Location	401 N Buffalo Dr Ste 120, Las Vegas, Nevada
Accepts Medicare Assignments	Yes. 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 Elizabeth Petralba attended and graduated from East Tennessee State University Quillen College Of Medicine in 2015

NPI Data:

NPI Number: 1184007692
Provider Enumeration Date: 07/01/2015
Last Update Date: 03/17/2018

Medicare PECOS Information:

PECOS PAC ID: 8426310632
Enrollment ID: I20180328002524

Medical Identifiers

Medical identifiers for Dr Staci Elizabeth Petralba such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184007692	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
231H00000X	Audiologist	AUD 153 (Hawaii)	Secondary
231H00000X	Audiologist	A-2261 (Nevada)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Las Fyzical Llc	4880820844	32

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 Elizabeth Petralba allows following entities to bill medicare on her behalf.

Provider Name	Las Fyzical Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1215361688 PECOS PAC ID: 4880820844 Enrollment ID: O20131121000481

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 Elizabeth Petralba 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
Dr Staci Elizabeth Petralba, AUD 401 N Buffalo Dr Ste 120, Las Vegas, NV 89145-0397 Ph: (702) 880-1515	Dr Staci Elizabeth Petralba, AUD 401 N Buffalo Dr Ste 120, Las Vegas, NV 89145-0397 Ph: (702) 880-1515

Reviews and Comments

Audiologist in Las Vegas, NV

Rainford Hearing Aid Services Inc Audiologist Medicare: Not Enrolled in Medicare Practice Location: 440 E Sahara Avenue, Suite B, Las Vegas, NV 89104 Phone: 702-732-8721 Fax: 702-732-3708
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Ashwini Mali, AUD Audiologist Medicare: Not Enrolled in Medicare Practice Location: 3120 S Rainbow Blvd Ste 202, Las Vegas, NV 89146 Phone: 702-983-2140 Fax: 702-233-8837
W Phil Christensen, AU.D Audiologist Medicare: Not Enrolled in Medicare Practice Location: 9080 W Cheyenne Ave Ste 110, Las Vegas, NV 89129 Phone: 702-853-7986 Fax: 702-880-1511
Kayleigh Putnam, AU.D. Audiologist Medicare: Medicare Enrolled Practice Location: 501 S Rancho Dr Ste A8, Las Vegas, NV 89106 Phone: 702-605-9133
Mrs. Danielle E. Knoeppel, MS Audiologist Medicare: Not Enrolled in Medicare Practice Location: 3150 N Tenaya Way, #140, Las Vegas, NV 89128 Phone: 702-671-6481 Fax: 702-671-6481

Dr Staci Elizabeth Petralba, AUD - Medicare Audiologist in Las Vegas, NV