Ms Shelley Poyner Baltodano, AUD - Medicare Audiologist in Mesa, AZ

Ms Shelley Poyner Baltodano, AUD is a medicare enrolled "Audiologist" provider in Mesa, Arizona. Her current practice location is 4838 E Baseline Rd Ste 126, Mesa, Arizona. You can reach out to her office (for appointments etc.) via phone at (480) 265-8067.

Ms Shelley Poyner Baltodano is licensed to practice in Arizona (license number DA1804) 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 1932382785.

Contact Information

Ms Shelley Poyner Baltodano, AUD
4838 E Baseline Rd Ste 126,
Mesa, AZ 85206-4673
(480) 265-8067
(623) 806-8685



Healthcare Provider's Profile

Full NameMs Shelley Poyner Baltodano
GenderFemale
SpecialityAudiologist
Location4838 E Baseline Rd Ste 126, Mesa, Arizona
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1932382785
  • Provider Enumeration Date: 12/14/2007
  • Last Update Date: 02/29/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 7911121223
  • Enrollment ID: I20140606000418

Medical Identifiers

Medical identifiers for Ms Shelley Poyner Baltodano such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1932382785NPI-NPPES
301835MedicaidAZ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
231H00000XAudiologist DA1804 (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. Ms Shelley Poyner Baltodano allows following entities to bill medicare on her behalf.
Provider NameA T Still University Of Health Sciences
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1346586468
PECOS PAC ID: 3971404120
Enrollment ID: O20130520000705

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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. Ms Shelley Poyner Baltodano 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
Ms Shelley Poyner Baltodano, AUD
4838 E Baseline Rd Ste 126,
Mesa, AZ 85206-4673

Ph: (480) 290-5587
Ms Shelley Poyner Baltodano, AUD
4838 E Baseline Rd Ste 126,
Mesa, AZ 85206-4673

Ph: (480) 265-8067

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Audiologist in Mesa, AZ

Jennifer Sellinger,
Audiologist
Medicare: Not Enrolled in Medicare
Practice Location: 1025 N Country Club Dr, Mesa, AZ 85201
Phone: 480-472-0510    
Dr. Elizabeth Dawn Palmer, AUD
Audiologist
Medicare: Medicare Enrolled
Practice Location: 4838 E Baseline Rd Ste 126, Mesa, AZ 85206
Phone: 480-265-8067    Fax: 623-806-8685
Olivia H Bender, AUD
Audiologist
Medicare: Medicare Enrolled
Practice Location: 1520 S Dobson Rd Ste 217, Mesa, AZ 85202
Phone: 480-539-4000    
Tri-city Audiology, Llc
Audiologist
Medicare: Medicare Enrolled
Practice Location: 6553 E Baywood Ave Ste 104, Mesa, AZ 85206
Phone: 480-981-3384    Fax: 480-924-8944
Advanced Hraing Group
Audiologist
Medicare: Not Enrolled in Medicare
Practice Location: 5202 E Main St Ste 105, Mesa, AZ 85205
Phone: 480-218-1328    Fax: 480-218-1330
Edgeline Audiology Pllc
Audiologist
Medicare: Medicare Enrolled
Practice Location: 4140 E Baseline Rd Ste 101, Mesa, AZ 85206
Phone: 480-545-2215    
Soha Garadat, M.SC. PHD
Audiologist
Medicare: Not Enrolled in Medicare
Practice Location: 4838 E Baseline Rd Ste 126, Mesa, AZ 85206
Phone: 480-265-8067    

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