Advanced Spine And Pain Llc is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" provider in Surprise, Arizona. Their current practice location is
15571 N Reems Rd Bldg D, Surprise, 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 1659030005.
Healthcare Provider's Profile
| Full Name | Advanced Spine And Pain Llc |
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| Type | Facility |
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| Speciality | Pain Medicine - Interventional Pain Medicine |
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| Location | 15571 N Reems Rd Bldg D, Surprise, 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: 1659030005
- Provider Enumeration Date: 12/14/2021
- Last Update Date: 12/14/2021
Medicare PECOS Information:
- PECOS PAC ID: 0941610075
- Enrollment ID: O20220209000368
Medical Identifiers
Medical identifiers for Advanced Spine And Pain Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1659030005 | 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 |
| 207X00000X | Orthopaedic Surgery | (* (Not Available)) | Secondary |
| 2081P2900X | Physical Medicine & Rehabilitation - Pain Medicine | (* (Not Available)) | Secondary |
| 208VP0000X | Pain Medicine - Pain Medicine | (* (Not Available)) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | (* (Not Available)) | Primary |
| 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 |
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Advanced Spine And Pain Llc
Po Box 29901, Department Id 975,
Phoenix, AZ 85038-0901
Ph: () - | Advanced Spine And Pain Llc
15571 N Reems Rd Bldg D,
Surprise, AZ 85374-9584
Ph: (480) 573-0130 |
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