Dr Heidi Gabriela Stark-bank, PHD is a medicare enrolled "Psychologist - Cognitive & Behavioral" provider in Las Vegas, Nevada. Her current practice location is
8880 W Sunset Rd Ste 200, Las Vegas, Nevada. You can reach out to her office (for appointments etc.) via phone at
(702) 805-5360.
Dr Heidi Gabriela Stark-bank is licensed to practice in Nevada (license number PY0641) 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 1699065524.
Healthcare Provider's Profile
| Full Name | Dr Heidi Gabriela Stark-bank |
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| Gender | Female |
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| Speciality | Psychologist - Cognitive & Behavioral |
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| Location | 8880 W Sunset Rd Ste 200, Las Vegas, Nevada |
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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: 1699065524
- Provider Enumeration Date: 04/12/2011
- Last Update Date: 07/14/2022
Medicare PECOS Information:
- PECOS PAC ID: 4981822459
- Enrollment ID: I20140825001459
Medical Identifiers
Medical identifiers for Dr Heidi Gabriela Stark-bank such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1699065524 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | PY0641 (Nevada) | Secondary |
| 103TB0200X | Psychologist - Cognitive & Behavioral | PSY24810 (California) | Secondary |
| 103TB0200X | Psychologist - Cognitive & Behavioral | PY0641 (California) | Secondary |
| 103TC0700X | Psychologist - Clinical | PY 6041 (Nevada) | Secondary |
| 103TC1900X | Psychologist - Counseling | PY0641 (Nevada) | Secondary |
| 103TH0004X | Psychologist - Health | PY 6041 (Nevada) | Secondary |
| 103TP2701X | Psychologist - Group Psychotherapy | PY0641 (Nevada) | Secondary |
| 103TB0200X | Psychologist - Cognitive & Behavioral | PY0641 (Nevada) | 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. Dr Heidi Gabriela Stark-bank allows following entities to bill medicare on her behalf.
| Entity Name | Perceptions Counseling Center Of Southern Nevada Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1578970539
PECOS PAC ID: 6103257100
Enrollment ID: O20200506003194 |
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| Entity Name | Pacific Coast Psychiatric Associates Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1023125465
PECOS PAC ID: 2567469174
Enrollment ID: O20230821002231 |
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| Entity Name | Cpf Sjn Outpatient Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1730830001
PECOS PAC ID: 0749637163
Enrollment ID: O20240301000275 |
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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. Dr Heidi Gabriela Stark-bank 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 Heidi Gabriela Stark-bank, PHD
Po Box 60193,
Las Vegas, NV 89160-0193
Ph: (858) 977-1878 | Dr Heidi Gabriela Stark-bank, PHD
8880 W Sunset Rd Ste 200,
Las Vegas, NV 89148-5014
Ph: (702) 805-5360 |
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