Deseret Family Medicine is a
Clinic/center - Multi-specialty based in Mesa, Arizona. Deseret Family Medicine is licensed to practice in * (Not Available) (license number ) and their current practice location is
1425 S Greenfield Rd, 101, Mesa, Arizona. It can be reached at their office (for appointments etc.) via phone at
(480) 981-3000.
NPI number for Deseret Family Medicine is 1215960638 and their current mailing address is 1425 S Greenfield Rd, 101, Mesa, Arizona. Deseret Family Medicine
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1215960638.
Healthcare Provider's Profile
| Full Name | Deseret Family Medicine |
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| Type | Facility |
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| Speciality | Clinic/center - Multi-specialty |
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| Location | 1425 S Greenfield Rd, Mesa, Arizona |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1215960638
- Provider Enumeration Date: 07/09/2006
- Last Update Date: 07/31/2017
Medical Identifiers
Medical identifiers for Deseret Family Medicine such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1215960638 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | 4101 (Arizona) | Secondary |
| 204D00000X | Neuromusculoskeletal Medicine & Omm | 006034 (Arizona) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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. Deseret Family Medicine is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Deseret Family Medicine
1425 S Greenfield Rd, 101,
Mesa, AZ 85206-5529
Ph: (480) 981-3000 | Deseret Family Medicine
1425 S Greenfield Rd, 101,
Mesa, AZ 85206-5529
Ph: (480) 981-3000 |
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