- Medicare in Phoenix, AZ

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is a medicare enrolled "General Practice" provider in Phoenix, Arizona. Their current practice location is 2824 E Indian School Rd Ste 5, Phoenix, Arizona. You can reach out to their office (for appointments etc.) via phone at (602) 840-0056.

is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. 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 1033600358.

Contact Information

2824 E Indian School Rd Ste 5,
Phoenix, AZ 85016-6875
(602) 840-0056
(602) 840-4056

Map and Direction




Healthcare Provider's Profile

Full Name
TypeFacility
SpecialityGeneral Practice
Location2824 E Indian School Rd Ste 5, Phoenix, Arizona
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1033600358
  • Provider Enumeration Date: 05/22/2018
  • Last Update Date: 01/05/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1850642364
  • Enrollment ID: O20180921003095

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033600358NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
111N00000XChiropractor (* (Not Available))Secondary
208100000XPhysical Medicine & Rehabilitation (* (Not Available))Secondary
208D00000XGeneral Practice (* (Not Available))Primary
225100000XPhysical Therapist (* (Not Available))Secondary
363A00000XPhysician Assistant (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:
Provider NameJacob D Hanson
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1477687432
PECOS PAC ID: 4981774502
Enrollment ID: I20080609000110
Provider NameTroy C Ciavaglia
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1740400258
PECOS PAC ID: 7113052267
Enrollment ID: I20100316000061
Provider NameSonja Gerard
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1366719965
PECOS PAC ID: 0941460018
Enrollment ID: I20120327000757
Provider NameRonald J Vigneau
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1255698684
PECOS PAC ID: 2567610041
Enrollment ID: I20120907000725
Provider NameNicole S Smith
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1720550809
PECOS PAC ID: 9335481621
Enrollment ID: I20191007000516
Provider NameRicardo Banchs Pla
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1073285615
PECOS PAC ID: 7618366972
Enrollment ID: I20230315001586

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. 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 AddressPractice Location Address

Po Box 6610,
Chandler, AZ 85246-6610

Ph: (480) 926-7800
2824 E Indian School Rd Ste 5,
Phoenix, AZ 85016-6875

Ph: (602) 840-0056

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.