Andrea Staack, MD in Los Angeles, CA

Andrea Staack, MD is a medicare enrolled "Urology" physician in Los Angeles, California. She graduated from medical school in 1999 and has 25 years of diverse experience with area of expertise as Urology. She is a member of the group practice Faculty Physicians And Surgeons Of Llusm and her current practice location is 200 Medical Plz, Suite #140, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at (310) 794-7700.

Andrea Staack is licensed to practice in California (license number F5519) 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 1578705208.

Contact Information

	Andrea Staack, MD
	200 Medical Plz, Suite #140, Los Angeles, CA 90095-0001
	(310) 794-7700
	Not Available

Map and Direction

Physician's Profile

Full Name	Andrea Staack
Gender	Female
Speciality	Urology
Experience	25 Years
Location	200 Medical Plz, Los Angeles, California
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:

Andrea Staack graduated from medical school in 1999

NPI Data:

NPI Number: 1578705208
Provider Enumeration Date: 03/26/2009
Last Update Date: 05/26/2010

Medicare PECOS Information:

PECOS PAC ID: 7315088911
Enrollment ID: I20100105000181

Medical Identifiers

Medical identifiers for Andrea Staack such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578705208	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208800000X	Urology	F5519 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Loma Linda University Medical Center	Loma linda, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Faculty Physicians And Surgeons Of Llusm	1153227814	1065

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. Andrea Staack allows following entities to bill medicare on her behalf.

Entity Name	Faculty Physicians And Surgeons Of Llusm
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205009917 PECOS PAC ID: 1153227814 Enrollment ID: O20031211000981

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. Andrea Staack 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
Andrea Staack, MD 5767 W Century Blvd, Ste 400, Los Angeles, CA 90045-5631 Ph: (310) 794-7700	Andrea Staack, MD 200 Medical Plz, Suite #140, Los Angeles, CA 90095-0001 Ph: (310) 794-7700

Reviews and Comments

Urology Doctors in Los Angeles, CA

Dr. Saum Bobak Ghodoussipour, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1516 San Pablo St Fl 5, Los Angeles, CA 90033 Phone: 323-865-3700
Victor Nitti, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 200 Ucla Medical Plz Ste 140, Los Angeles, CA 90095 Phone: 310-794-7700 Fax: 310-794-0211
Dr. Carol Joan Bennett, M.D. Urology Medicare: Medicare Enrolled Practice Location: 11301 Wilshire Blvd # 10h2, Los Angeles, CA 90073 Phone: 310-478-3711 Fax: 310-268-4967
Arie Belldegrun, MD Urology Medicare: Medicare Enrolled Practice Location: 200 Medical Plz, Suite 140, Los Angeles, CA 90095 Phone: 310-794-7700 Fax: 310-301-8751
Dr. Stuart Holden, Urology Medicare: Accepting Medicare Assignments Practice Location: 200 Ucla Medical Plz Ste 140, Los Angeles, CA 90095 Phone: 310-825-1172 Fax: 310-794-0987
Jay J Stein, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 8635 W 3rd St, Suite 460w, Los Angeles, CA 90048 Phone: 310-652-8810 Fax: 310-652-0334
Dr. Philip Werthman, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 2080 Century Park E Ste 907, Los Angeles, CA 90067 Phone: 310-277-2873 Fax: 310-286-2139

Andrea Staack, MD - Medicare Urology in Los Angeles, CA