Dr Stacey Louise Dault, DO - Medicare Family Medicine in Tempe, AZ

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Dr Stacey Louise Dault, DO is a medicare enrolled "Family Medicine - Sports Medicine" physician in Tempe, Arizona. Her current practice location is 6139 S Rural Rd Ste 102, Tempe, Arizona. You can reach out to her office (for appointments etc.) via phone at (480) 846-0688.

Dr Stacey Louise Dault is licensed to practice in Arizona (license number 006185) 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 1760775357.

Contact Information

Dr Stacey Louise Dault, DO
6139 S Rural Rd Ste 102,
Tempe, AZ 85283-2929
(480) 846-0688
(480) 741-8650

Map and Direction




Physician's Profile

Full NameDr Stacey Louise Dault
GenderFemale
SpecialityFamily Medicine - Sports Medicine
Location6139 S Rural Rd Ste 102, Tempe, Arizona
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1760775357
  • Provider Enumeration Date: 05/16/2011
  • Last Update Date: 04/09/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 1759503980
  • Enrollment ID: I20160115000512

Medical Identifiers

Medical identifiers for Dr Stacey Louise Dault such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1760775357NPI-NPPES
030026MedicaidAZ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207QS0010XFamily Medicine - Sports Medicine 006185 (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 Stacey Louise Dault allows following entities to bill medicare on her behalf.
Entity NameScottsdale Health And Wellness Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912903527
PECOS PAC ID: 3779563739
Enrollment ID: O20040721001206
Entity NameUrgently Ortho Orthopedic Specialists Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548813959
PECOS PAC ID: 5395074751
Enrollment ID: O20190910002118
Entity NameModern Sports Medicine Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285295089
PECOS PAC ID: 6800228479
Enrollment ID: O20191120000879
Entity NameAchieve More Sports And Wellness
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558012021
PECOS PAC ID: 5294128120
Enrollment ID: O20220216002642

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 Stacey Louise Dault 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 Stacey Louise Dault, DO
Po Box 6085,
Chandler, AZ 85246-6085

Ph: (480) 846-0688		Dr Stacey Louise Dault, DO
6139 S Rural Rd Ste 102,
Tempe, AZ 85283-2929

Ph: (480) 846-0688

Reviews and Comments


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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.