Desert Ridge Medical Group is a medicare enrolled "General Practice" provider in Phoenix, Arizona. Their current practice location is
21001 N Tatum Blvd Ste 78-1640, Phoenix, Arizona. You can reach out to their office (for appointments etc.) via phone at
(480) 926-7800.
Desert Ridge Medical Group is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Desert Ridge Medical Group
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 1386133080.
Healthcare Provider's Profile
| Full Name | Desert Ridge Medical Group |
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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 | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1386133080
- Provider Enumeration Date: 05/08/2018
- Last Update Date: 10/13/2023
Medicare PECOS Information:
- PECOS PAC ID: 5991056350
- Enrollment ID: O20180924002341
Medical Identifiers
Medical identifiers for Desert Ridge Medical Group such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1386133080 | 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.
Desert Ridge Medical Group acts as a billing entity for following providers:
| Provider Name | Justin R Wright |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1962693986
PECOS PAC ID: 3678668886
Enrollment ID: I20071003000387 |
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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 | Matthew Lemke |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1427674118
PECOS PAC ID: 7113344755
Enrollment ID: I20200910002328 |
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| Provider Name | Justin Akiyama |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1518605807
PECOS PAC ID: 0547649212
Enrollment ID: I20220627002050 |
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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. Desert Ridge Medical Group 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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Desert Ridge Medical Group
Po Box 6610,
Chandler, AZ 85246-6610
Ph: (480) 926-7800 | Desert Ridge Medical Group
21001 N Tatum Blvd Ste 78-1640,
Phoenix, AZ 85050-5244
Ph: (480) 926-7800 |
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