Estrella Pkwy Medical Center, Llc. is a medicare enrolled "Physician Assistant - Medical" provider in Goodyear, Arizona. Their current practice location is
530 N Estrella Pkwy, Ste. C-1, Goodyear, Arizona. You can reach out to their office (for appointments etc.) via phone at
(623) 932-9211.
Estrella Pkwy Medical Center, Llc. is licensed to practice in Arizona (license number 3789) and it also participates in the medicare program. Estrella Pkwy Medical Center, Llc.
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 1871546036.
Healthcare Provider's Profile
| Full Name | Estrella Pkwy Medical Center, Llc. |
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| Type | Facility |
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| Speciality | Physician Assistant - Medical |
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| Location | 530 N Estrella Pkwy, Goodyear, 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: 1871546036
- Provider Enumeration Date: 05/18/2006
- Last Update Date: 04/12/2017
Medicare PECOS Information:
- PECOS PAC ID: 6002067410
- Enrollment ID: O20121113000144
Medical Identifiers
Medical identifiers for Estrella Pkwy Medical Center, Llc. such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1871546036 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | 7681 (Arizona) | Secondary |
| 363AM0700X | Physician Assistant - Medical | 3789 (Arizona) | Primary |
| 363L00000X | Nurse Practitioner | AP3364 (Arizona) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Estrella Pkwy Medical Center, Llc. acts as a billing entity for following providers:
| Provider Name | Brion D Muscarella |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1043264187
PECOS PAC ID: 5698787356
Enrollment ID: I20060620000143 |
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| Provider Name | Todd Dreitzler |
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| Provider Type | Practitioner - Family Practice |
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| Provider Identifiers | NPI Number: 1063641686
PECOS PAC ID: 4981654944
Enrollment ID: I20131127000457 |
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| Provider Name | Mitchell Waller |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1457424467
PECOS PAC ID: 3870481583
Enrollment ID: I20140602001724 |
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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. Estrella Pkwy Medical Center, Llc. 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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Estrella Pkwy Medical Center, Llc.
530 N Estrella Pkwy, Ste. C-1,
Goodyear, AZ 85338-4137
Ph: (623) 932-9211 | Estrella Pkwy Medical Center, Llc.
530 N Estrella Pkwy, Ste. C-1,
Goodyear, AZ 85338-4137
Ph: (623) 932-9211 |
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