Advanced Spine And Pain Llc is a medicare enrolled "Internal Medicine" provider in Gilbert, Arizona. Their current practice location is
2563 S Val Vista Dr Ste 101b, Gilbert, Arizona. You can reach out to their office (for appointments etc.) via phone at
(480) 573-0130.
Advanced Spine And Pain Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Advanced Spine And Pain Llc
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 1487394888.
Healthcare Provider's Profile
| Full Name | Advanced Spine And Pain Llc |
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| Type | Facility |
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| Speciality | Internal Medicine |
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| Location | 2563 S Val Vista Dr Ste 101b, Gilbert, 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: 1487394888
- Provider Enumeration Date: 04/01/2022
- Last Update Date: 04/01/2022
Medicare PECOS Information:
- PECOS PAC ID: 0941610075
- Enrollment ID: O20220516000751
Medical Identifiers
Medical identifiers for Advanced Spine And Pain Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1487394888 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Secondary |
| 207L00000X | Anesthesiology | (* (Not Available)) | Secondary |
| 207LP2900X | Anesthesiology - Pain Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 207RI0011X | Internal Medicine - Interventional Cardiology | (* (Not Available)) | Secondary |
| 207X00000X | Orthopaedic Surgery | (* (Not Available)) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | (* (Not Available)) | Secondary |
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 363L00000X | Nurse Practitioner | (* (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. Advanced Spine And Pain Llc 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 |
|---|
Advanced Spine And Pain Llc
2525 W Greenway Rd Ste 125,
Phoenix, AZ 85023-4226
Ph: (937) 206-0377 | Advanced Spine And Pain Llc
2563 S Val Vista Dr Ste 101b,
Gilbert, AZ 85295-6231
Ph: (480) 573-0130 |
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