Mr Kevin Kristalovich, AUD, CCC-A - Medicare Audiologist in Goodyear, AZ

Mr Kevin Kristalovich, AUD, CCC-A is a medicare enrolled "Audiologist" provider in Goodyear, Arizona. His current practice location is 2700 N 140th Ave, Ste 107, Goodyear, Arizona. You can reach out to his office (for appointments etc.) via phone at (623) 535-8770.

Mr Kevin Kristalovich is licensed to practice in Arizona (license number DA2024) 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 1083665798.

Contact Information

Mr Kevin Kristalovich, AUD, CCC-A
2700 N 140th Ave, Ste 107,
Goodyear, AZ 85395
(623) 535-8770
(623) 535-8771



Healthcare Provider's Profile

Full NameMr Kevin Kristalovich
GenderMale
SpecialityAudiologist
Location2700 N 140th Ave, Goodyear, Arizona
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1083665798
  • Provider Enumeration Date: 05/15/2006
  • Last Update Date: 11/13/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 1557372059
  • Enrollment ID: I20060517000031

Medical Identifiers

Medical identifiers for Mr Kevin Kristalovich such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083665798NPI-NPPES
948929MedicaidAZ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
231H00000XAudiologist DA2024 (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. Mr Kevin Kristalovich allows following entities to bill medicare on his behalf.
Provider NameAdvanced Ear Nose And Throat Associates Pc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1235120411
PECOS PAC ID: 2163407453
Enrollment ID: O20040621001744

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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. Mr Kevin Kristalovich 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
Mr Kevin Kristalovich, AUD, CCC-A
Po Box 12550,
Belfast, ME 04915-4016

Ph: (623) 535-8770
Mr Kevin Kristalovich, AUD, CCC-A
2700 N 140th Ave, Ste 107,
Goodyear, AZ 85395

Ph: (623) 535-8770

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Audiologist in Goodyear, AZ

Mr. Jared Michael Henry-gent, AU.D.
Audiologist
Medicare: Accepting Medicare Assignments
Practice Location: 13555 W Mcdowell Rd Ste 202, Goodyear, AZ 85395
Phone: 623-512-4100    Fax: 623-512-4107
Beth Ilene Sanchez, AU.D.
Audiologist
Medicare: Accepting Medicare Assignments
Practice Location: 13555 W Mcdowell Rd Ste 209, Goodyear, AZ 85395
Phone: 623-512-4176    Fax: 623-512-4199
Tania Edwards, AUDD
Audiologist
Medicare: Accepting Medicare Assignments
Practice Location: 2700 N 140th Ave Ste 107, Goodyear, AZ 85395
Phone: 623-535-8770    Fax: 623-535-8771
Freedom Audiology
Audiologist
Medicare: Medicare Enrolled
Practice Location: 15655 W Roosevelt St Ste 216, Goodyear, AZ 85338
Phone: 623-696-5817    Fax: 623-321-8009
Aryannah Aisha Adam, AUD
Audiologist
Medicare: Medicare Enrolled
Practice Location: 13555 W Mcdowell Rd Ste 202, Goodyear, AZ 85395
Phone: 623-512-4100    Fax: 623-512-4107
Dr. Cherilyn L Larson, AUD, CCC-A
Audiologist
Medicare: Not Enrolled in Medicare
Practice Location: 13555 W Mcdowell Rd, Suite 202, Goodyear, AZ 85395
Phone: 623-512-4100    Fax: 623-512-4107

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