Stephanie Miray Audish, DPT in El Segundo, CA - Medicare Physical Therapist Provider

Stephanie Miray Audish, DPT is a medicare enrolled "Physical Therapist" provider in El Segundo, California. Her current practice location is 390 N Pacific Coast Hwy Ste 1000, El Segundo, California. You can reach out to her office (for appointments etc.) via phone at (310) 640-9911.

Stephanie Miray Audish is licensed to practice in * (Not Available) (license number ) 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 1407440902.

Contact Information

	Stephanie Miray Audish, DPT
	390 N Pacific Coast Hwy Ste 1000, El Segundo, CA 90245-4401
	(310) 640-9911
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Stephanie Miray Audish
Gender	Female
Speciality	Physical Therapist
Location	390 N Pacific Coast Hwy Ste 1000, El Segundo, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1407440902
Provider Enumeration Date: 02/24/2021
Last Update Date: 02/24/2021

Medicare PECOS Information:

PECOS PAC ID: 6608237441
Enrollment ID: I20230726003832

Medical Identifiers

Medical identifiers for Stephanie Miray Audish such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407440902	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	(* (Not Available))	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. Stephanie Miray Audish allows following entities to bill medicare on her behalf.

Provider Name	Vargo Physical Therapy, Inc.
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1811910797 PECOS PAC ID: 4486639143 Enrollment ID: O20040618000826

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. Stephanie Miray Audish 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
Stephanie Miray Audish, DPT 19026 Killoch Way, Northridge, CA 91326-1028 Ph: (818) 642-6170	Stephanie Miray Audish, DPT 390 N Pacific Coast Hwy Ste 1000, El Segundo, CA 90245-4401 Ph: (310) 640-9911

Reviews and Comments

Physical Therapist in El Segundo, CA

Christopher P Derosa, RPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 325 Main St, El Segundo, CA 90245 Phone: 310-648-3167
Ashley Smith, PT, DPT, CCRT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 390 N Pacific Coast Hwy Ste 1000, El Segundo, CA 90245 Phone: 310-640-9911
Mr. Alex M Youssefian, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 390 N Sepulveda Blvd, Suite 2060, El Segundo, CA 90245 Phone: 626-394-1575
Shelby Plummer, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 615 N Nash St Ste 306, El Segundo, CA 90245 Phone: 310-535-0008
Elizabeth Glozman, MSPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 111 Penn St, El Segundo, CA 90245 Phone: 310-426-9570 Fax: 310-426-9572
Ms. Kimberlee Bickerton, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 150 Sierra St, El Segundo, CA 90245 Phone: 310-426-9406
Tag Physical Therapy, Inc Physical Therapist Medicare: Medicare Enrolled Practice Location: 111 Penn St, El Segundo, CA 90245 Phone: 310-426-9570 Fax: 310-426-9572

Stephanie Miray Audish, DPT - Medicare Physical Therapist in El Segundo, CA