28th Street Medical Group, Llc is a
General Practice based in Phoenix, Arizona. 28th Street Medical Group, Llc is licensed to practice in * (Not Available) (license number ) and their current practice location is
2836 E Indian School Rd Ste A8, Phoenix, Arizona. It can be reached at their office (for appointments etc.) via phone at
(602) 840-0056.
NPI number for 28th Street Medical Group, Llc is 1447723598 and their current mailing address is Po Box 6610, Chandler, Arizona. 28th Street Medical Group, Llc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1447723598.
Healthcare Provider's Profile
| Full Name | 28th Street Medical Group, Llc |
|---|
| Type | Facility |
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| Speciality | General Practice |
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| Location | 2836 E Indian School Rd Ste A8, Phoenix, Arizona |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1447723598
- Provider Enumeration Date: 01/10/2019
- Last Update Date: 01/05/2023
Medical Identifiers
Medical identifiers for 28th Street Medical Group, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1447723598 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | (* (Not Available)) | Secondary |
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
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. 28th Street Medical Group, Llc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
28th Street Medical Group, Llc
Po Box 6610,
Chandler, AZ 85246-6610
Ph: (480) 926-7800 | 28th Street Medical Group, Llc
2836 E Indian School Rd Ste A8,
Phoenix, AZ 85016-6864
Ph: (602) 840-0056 |
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