Desert Ridge Angic Llc is a
General Practice based in Phoenix, Arizona. Desert Ridge Angic Llc is licensed to practice in * (Not Available) (license number ) and their current practice location is
21001 N Tatum Blvd Ste 78-1640, Phoenix, Arizona. It can be reached at their office (for appointments etc.) via phone at
(480) 306-7832.
NPI number for Desert Ridge Angic Llc is 1821680539 and their current mailing address is Po Box 6610, Chandler, Arizona. Desert Ridge Angic Llc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1821680539.
Healthcare Provider's Profile
| Full Name | Desert Ridge Angic Llc |
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| Type | Facility |
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| Speciality | General Practice |
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| Location | 21001 N Tatum Blvd Ste 78-1640, Phoenix, 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: 1821680539
- Provider Enumeration Date: 02/04/2021
- Last Update Date: 01/05/2023
Medical Identifiers
Medical identifiers for Desert Ridge Angic Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1821680539 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 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 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. Desert Ridge Angic Llc 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 |
|---|
Desert Ridge Angic Llc
Po Box 6610,
Chandler, AZ 85246-6610
Ph: (480) 926-7800 | Desert Ridge Angic Llc
21001 N Tatum Blvd Ste 78-1640,
Phoenix, AZ 85050-5244
Ph: (480) 306-7832 |
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