Staci M Hestdalen, MD in Spokane Valley, WA

Staci M Hestdalen, MD is a medicare enrolled "Dermatology" physician in Spokane Valley, Washington. She went to Baylor College Of Medicine and graduated in 1998 and has 26 years of diverse experience with area of expertise as Dermatology. She is a member of the group practice Mountain West Derm - Blackhart Pllc, Mountain West Derm - Blackhart Pllc and her current practice location is 1807 N Hutchinson Rd, Spokane Valley, Washington. You can reach out to her office (for appointments etc.) via phone at (509) 456-7414.

Staci M Hestdalen is licensed to practice in Washington (license number MD00043715) 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 1194790006.

Contact Information

	Staci M Hestdalen, MD
	1807 N Hutchinson Rd, Spokane Valley, WA 99212-2444
	(509) 456-7414
	(509) 624-0763

Map and Direction

Physician's Profile

Full Name	Staci M Hestdalen
Gender	Female
Speciality	Dermatology
Experience	26 Years
Location	1807 N Hutchinson Rd, Spokane Valley, Washington
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:

Staci M Hestdalen attended and graduated from Baylor College Of Medicine in 1998

NPI Data:

NPI Number: 1194790006
Provider Enumeration Date: 02/22/2006
Last Update Date: 08/13/2019

Medicare PECOS Information:

PECOS PAC ID: 1254316078
Enrollment ID: I20040623001603

Medical Identifiers

Medical identifiers for Staci M Hestdalen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194790006	NPI	-	NPPES
8394454	Medicaid	WA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	MD00043715 (Washington)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Kootenai Health	Coeur d'alene, ID	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mountain West Derm - Blackhart Pllc	1153609813	105
Mountain West Derm - Blackhart Pllc	1153609813	105

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. Staci M Hestdalen allows following entities to bill medicare on her behalf.

Entity Name	Mountain West Derm - Blackhart Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013557933 PECOS PAC ID: 1153609813 Enrollment ID: O20200904001722

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. Staci M Hestdalen 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
Staci M Hestdalen, MD 1807 N Hutchinson Rd, Spokane Valley, WA 99212-2444 Ph: (509) 456-7414	Staci M Hestdalen, MD 1807 N Hutchinson Rd, Spokane Valley, WA 99212-2444 Ph: (509) 456-7414

Reviews and Comments

Dermatology Doctors in Spokane Valley, WA

Joel K Sears, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1807 N Hutchinson Rd, Spokane Valley, WA 99212 Phone: 509-456-7414 Fax: 509-624-0763
Andrea Mead Dominey, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1807 N Hutchinson Rd, Spokane Valley, WA 99212 Phone: 509-456-7414 Fax: 509-624-0763
Paul T Dunn, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1807 N Hutchinson Rd, Spokane Valley, WA 99212 Phone: 509-456-7414 Fax: 509-624-0763
Dr. Robin Louise Hornung, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1807 N Hutchinson Rd, Spokane Valley, WA 99212 Phone: 509-456-7414 Fax: 509-624-0763
Chadd Sukut, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1807 N Hutchinson Rd, Spokane Valley, WA 99212 Phone: 509-456-7414 Fax: 509-624-0763
Joseph L Cvancara, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1807 N Hutchinson Rd, Spokane Valley, WA 99212 Phone: 509-456-7414 Fax: 509-624-0763

Staci M Hestdalen, MD - Medicare Dermatology in Spokane Valley, WA