Staci Graber, PT is a medicare enrolled "Physical Therapist" provider in Cuba City, Wisconsin. Her current practice location is
808 S Washington St, Cuba City, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(608) 744-3953.
Staci Graber is licensed to practice in Wisconsin (license number 9523-24) 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 1598140204.
Healthcare Provider's Profile
| Full Name | Staci Graber |
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| Gender | Female |
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| Speciality | Physical Therapist |
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| Location | 808 S Washington St, Cuba City, Wisconsin |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1598140204
- Provider Enumeration Date: 07/23/2015
- Last Update Date: 07/23/2015
Medicare PECOS Information:
- PECOS PAC ID: 9931549490
- Enrollment ID: I20240501000371
Medical Identifiers
Medical identifiers for Staci Graber such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1598140204 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | 9523-24 (Wisconsin) | 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. Staci Graber allows following entities to bill medicare on her behalf.
| Provider Name | Southwest Health Center Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1831279793
PECOS PAC ID: 3072427772
Enrollment ID: O20031117000839 |
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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. Staci Graber 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 |
|---|
Staci Graber, PT
923 S Randolph St,
Cuba City, WI 53807-1048
Ph: () - | Staci Graber, PT
808 S Washington St,
Cuba City, WI 53807-1439
Ph: (608) 744-3953 |
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