Dr Stacy Haller, PT, DPT in Chula Vista, CA - Medicare Physical Therapist Provider

Dr Stacy Haller, PT, DPT is a medicare enrolled "Physical Therapist" provider in Chula Vista, California. Her current practice location is 1040 Tierra Del Rey Ste 107, Chula Vista, California. You can reach out to her office (for appointments etc.) via phone at (619) 500-5884.

Dr Stacy Haller is licensed to practice in California (license number PT300797) 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 1023789484.

Contact Information

	Dr Stacy Haller, PT, DPT
	1040 Tierra Del Rey Ste 107, Chula Vista, CA 91910-7865
	(619) 500-5884
	Not Available

Healthcare Provider's Profile

Full Name	Dr Stacy Haller
Gender	Female
Speciality	Physical Therapist
Location	1040 Tierra Del Rey Ste 107, Chula Vista, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1023789484
Provider Enumeration Date: 09/25/2021
Last Update Date: 05/31/2022

Medicare PECOS Information:

PECOS PAC ID: 6709279789
Enrollment ID: I20220216000415

Medical Identifiers

Medical identifiers for Dr Stacy Haller such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023789484	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT300797 (California)	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. Dr Stacy Haller allows following entities to bill medicare on her behalf.

Provider Name	Permanente Medical Group Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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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. Dr Stacy Haller 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
Dr Stacy Haller, PT, DPT 1800 Harrison St, 7th Fl, Oakland, CA 94612-3429 Ph: (510) 625-2856	Dr Stacy Haller, PT, DPT 1040 Tierra Del Rey Ste 107, Chula Vista, CA 91910-7865 Ph: (619) 500-5884

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Physical Therapist in Chula Vista, CA

Nicole M Irizarry, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 510 E Naples St, Chula Vista, CA 91911 Phone: 619-421-6083
Joseph Edward Bailey, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 955 Lane Ave, #201, Chula Vista, CA 91914 Phone: 619-421-9521 Fax: 619-421-9568
Daniel Tucker, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 344 F St, Suite 300, Chula Vista, CA 91910 Phone: 619-585-4080 Fax: 619-427-4572
David Sebastian Mignea, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 320 Broadway Ste 2, Chula Vista, CA 91910 Phone: 619-422-0404 Fax: 619-422-4153
Ms. Kara W. Barnett, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 891 Kuhn Dr, Ste. 101, Chula Vista, CA 91914 Phone: 619-656-6470 Fax: 619-656-6614
Mrs. Afsoon Roshan Johnston, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 251 Landis Ave, Chula Vista, CA 91910 Phone: 619-498-8450

Dr Stacy Haller, PT, DPT - Medicare Physical Therapist in Chula Vista, CA

Contact Information

Healthcare Provider's Profile

Medical Identifiers

Medical Taxonomies and Licenses

Medicare Reassignments

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Medicare Part D Prescriber Enrollment

Mailing Address and Practice Location

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Physical Therapist in Chula Vista, CA