Paul Staheli, PHD in St George, UT - Medicare Psychologist Provider

Paul Staheli, PHD is a medicare enrolled "Psychologist - Clinical" provider in St George, Utah. His current practice location is 474 W 200 N, Suite 100, St George, Utah. You can reach out to his office (for appointments etc.) via phone at (435) 634-5600.

Paul Staheli is licensed to practice in Utah (license number 333120-2501) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1215065958.

Contact Information

	Paul Staheli, PHD
	474 W 200 N, Suite 100, St George, UT 84770-4505
	(435) 634-5600
	(435) 986-8700

Map and Direction

Healthcare Provider's Profile

Full Name	Paul Staheli
Gender	Male
Speciality	Psychologist - Clinical
Location	474 W 200 N, St George, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1215065958
Provider Enumeration Date: 03/02/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 8820188527
Enrollment ID: I20071219000106

Medical Identifiers

Medical identifiers for Paul Staheli such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215065958	NPI	-	NPPES
333120-2501	Other	UT	STATE LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	333120-2501 (Utah)	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. Paul Staheli allows following entities to bill medicare on his behalf.

Entity Name	Southwest Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922053586 PECOS PAC ID: 0941246086 Enrollment ID: O20050629000639

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. Paul Staheli 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
Paul Staheli, PHD 474 W 200 N, Suite 300, St George, UT 84770-4505 Ph: (435) 634-5600	Paul Staheli, PHD 474 W 200 N, Suite 100, St George, UT 84770-4505 Ph: (435) 634-5600

Reviews and Comments

Psychologist in St George, UT

Dr. Christina J Durham, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 166 N 300 W, Suite 1, St George, UT 84770 Phone: 435-688-9471 Fax: 435-688-9478
Tim R Kockler, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1224 S. River Road, Suite 221, St George, UT 84790 Phone: 435-632-1445 Fax: 435-688-1091
David Brent Tate, PH.D. Psychologist Medicare: May Accept Medicare Assignments Practice Location: 321 N Mall Dr, Suite I-201, St George, UT 84790 Phone: 435-656-0506 Fax: 435-272-4009
Dr. Virgil W. Brockbank, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2480 Red Cliffs Dr, St George, UT 84790 Phone: 435-673-6446 Fax: 435-652-8020
Allen Garrett, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 474 W 200 N, St George, UT 84770 Phone: 435-634-5600
Chauncey Sandberg Adams, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 544 S 400 E, St George, UT 84770 Phone: 435-688-4343

Paul Staheli, PHD - Medicare Psychologist in St George, UT