Dr Sasha O'brien Staack, MD - Medicare Radiology in Phoenix, AZ

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Dr Sasha O'brien Staack, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Phoenix, Arizona. Her current practice location is 350 W Thomas Rd, Phoenix, Arizona. You can reach out to her office (for appointments etc.) via phone at (602) 406-3430.

Dr Sasha O'brien Staack is licensed to practice in Arizona (license number 57561) 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 1972031631.

Contact Information

Dr Sasha O'brien Staack, MD
350 W Thomas Rd,
Phoenix, AZ 85013-4409
(602) 406-3430
Not Available

Map and Direction




Physician's Profile

Full NameDr Sasha O'brien Staack
GenderFemale
SpecialityRadiology - Diagnostic Radiology
Location350 W Thomas Rd, Phoenix, Arizona
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1972031631
  • Provider Enumeration Date: 05/25/2017
  • Last Update Date: 08/02/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 8527317684
  • Enrollment ID: I20220818001022

Medical Identifiers

Medical identifiers for Dr Sasha O'brien Staack such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1972031631NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine R76155 (Arizona)Secondary
2085R0202XRadiology - Diagnostic Radiology 57561 (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. Dr Sasha O'brien Staack allows following entities to bill medicare on her behalf.
Entity NameSjhmc Physician Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326098005
PECOS PAC ID: 4486646197
Enrollment ID: O20040401001189
Entity NameSmi Imaging Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972004489
PECOS PAC ID: 3476696220
Enrollment ID: O20180829003142
Entity NameCalifornia Managed Imaging Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821271727
PECOS PAC ID: 9436229887
Enrollment ID: O20220127001824

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 Sasha O'brien 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 AddressPractice Location Address
Dr Sasha O'brien Staack, MD
Po Box 33269,
Phoenix, AZ 85067-3269

Ph: (602) 406-4786		Dr Sasha O'brien Staack, MD
350 W Thomas Rd,
Phoenix, AZ 85013-4409

Ph: (602) 406-3430

Reviews and Comments


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Dr. Abhilash P Nambiar, M.D.
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Dr. Tilina N. Hu, MD
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Alicia Chen, M.D.
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Joel James Hayden, MD
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Practice Location: 350 W Thomas Rd, Phoenix, AZ 85013
Phone: 602-406-3430    Fax: 602-406-2340

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.