Abundant Health Medical Pllc is a medicare enrolled "Physical Medicine & Rehabilitation" provider in Chandler, Arizona. Their current practice location is
4913 S Alma School Rd, Ste 4, Chandler, Arizona. You can reach out to their office (for appointments etc.) via phone at
(480) 802-0797.
Abundant Health Medical Pllc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Abundant Health Medical Pllc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1487105557.
Healthcare Provider's Profile
| Full Name | Abundant Health Medical Pllc |
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| Type | Facility |
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| Speciality | Physical Medicine & Rehabilitation |
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| Location | 4913 S Alma School Rd, Chandler, Arizona |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1487105557
- Provider Enumeration Date: 10/24/2016
- Last Update Date: 10/24/2016
Medicare PECOS Information:
- PECOS PAC ID: 1850665183
- Enrollment ID: O20170925002476
Medical Identifiers
Medical identifiers for Abundant Health Medical Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1487105557 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | (* (Not Available)) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Abundant Health Medical Pllc acts as a billing entity for following providers:
| Provider Name | Peter Randall Sutton |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1265400881
PECOS PAC ID: 5496720492
Enrollment ID: I20040902000754 |
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| Provider Name | Alireza Mazoury |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1851637631
PECOS PAC ID: 1355588245
Enrollment ID: I20130514000108 |
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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. Abundant Health Medical Pllc 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 |
|---|
Abundant Health Medical Pllc
4913 S Alma School Rd, Ste 4,
Chandler, AZ 85248-5630
Ph: (480) 802-0797 | Abundant Health Medical Pllc
4913 S Alma School Rd, Ste 4,
Chandler, AZ 85248-5630
Ph: (480) 802-0797 |
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