Backfit Health & Spine 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.
Backfit Health & Spine is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Backfit Health & Spine
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.
Healthcare Provider's Profile
| Full Name | Backfit Health & Spine |
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| Type | Facility |
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| Speciality | General Practice |
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| Location | 2824 E Indian School Rd Ste 5, Phoenix, 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: 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 Backfit Health & Spine such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1033600358 | 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)) | Secondary |
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 363A00000X | Physician 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.
Backfit Health & Spine acts as a billing entity for following providers:
| Provider Name | Jacob D Hanson |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1477687432
PECOS PAC ID: 4981774502
Enrollment ID: I20080609000110 |
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| Provider Name | Troy C Ciavaglia |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1740400258
PECOS PAC ID: 7113052267
Enrollment ID: I20100316000061 |
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| Provider Name | Sonja Gerard |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1366719965
PECOS PAC ID: 0941460018
Enrollment ID: I20120327000757 |
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| Provider Name | Ronald J Vigneau |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1255698684
PECOS PAC ID: 2567610041
Enrollment ID: I20120907000725 |
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| Provider Name | Nicole S Smith |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1720550809
PECOS PAC ID: 9335481621
Enrollment ID: I20191007000516 |
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| Provider Name | Ricardo Banchs Pla |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1073285615
PECOS PAC ID: 7618366972
Enrollment ID: I20230315001586 |
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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. Backfit Health & Spine 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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Backfit Health & Spine
Po Box 6610,
Chandler, AZ 85246-6610
Ph: (480) 926-7800 | Backfit Health & Spine
2824 E Indian School Rd Ste 5,
Phoenix, AZ 85016-6875
Ph: (602) 840-0056 |
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