Deseret Medical Associates Plc is a medicare enrolled "Family Medicine" provider in Gold Canyon, Arizona. Their current practice location is
6410 S Kings Ranch Rd Ste 1, Gold Canyon, Arizona. You can reach out to their office (for appointments etc.) via phone at
(480) 981-3000.
Deseret Medical Associates Plc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Deseret Medical Associates Plc
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 1962989244.
Healthcare Provider's Profile
| Full Name | Deseret Medical Associates Plc |
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| Type | Facility |
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| Speciality | Family Medicine |
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| Location | 6410 S Kings Ranch Rd Ste 1, Gold Canyon, 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: 1962989244
- Provider Enumeration Date: 07/19/2018
- Last Update Date: 03/28/2024
Medicare PECOS Information:
- PECOS PAC ID: 5698026409
- Enrollment ID: O20180918002147
Medical Identifiers
Medical identifiers for Deseret Medical Associates Plc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1962989244 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207QG0300X | Family Medicine - Geriatric Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (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.
Deseret Medical Associates Plc acts as a billing entity for following providers:
| Provider Name | Hugo Fazz |
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| Provider Type | Practitioner - Family Practice |
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| Provider Identifiers | NPI Number: 1588697031
PECOS PAC ID: 4486669363
Enrollment ID: I20060214000319 |
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| Provider Name | Robert C Allen |
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| Provider Type | Practitioner - Family Practice |
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| Provider Identifiers | NPI Number: 1639195977
PECOS PAC ID: 0749386852
Enrollment ID: I20080116000055 |
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| Provider Name | David J Farnsworth |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1194758524
PECOS PAC ID: 2365583077
Enrollment ID: I20100104000141 |
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| Provider Name | Dana Marie Smith |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1306228218
PECOS PAC ID: 5092014985
Enrollment ID: I20160427001313 |
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| Provider Name | Dana Smith |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1255975348
PECOS PAC ID: 5890129290
Enrollment ID: I20191217003034 |
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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. Deseret Medical Associates Plc 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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Deseret Medical Associates Plc
6410 S Kings Ranch Rd Ste 1,
Gold Canyon, AZ 85118-7352
Ph: (480) 761-2500 | Deseret Medical Associates Plc
6410 S Kings Ranch Rd Ste 1,
Gold Canyon, AZ 85118
Ph: (480) 981-3000 |
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