Guadalupe Medical Group Llc is a medicare enrolled "General Practice" provider in Tempe, Arizona. Their current practice location is
1855 E Guadalupe Rd Ste 112, Tempe, Arizona. You can reach out to their office (for appointments etc.) via phone at
(480) 839-8552.
Guadalupe Medical Group Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Guadalupe Medical Group 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 1629547104.
Healthcare Provider's Profile
| Full Name | Guadalupe Medical Group Llc |
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| Type | Facility |
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| Speciality | General Practice |
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| Location | 1855 E Guadalupe Rd Ste 112, Tempe, 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: 1629547104
- Provider Enumeration Date: 11/14/2018
- Last Update Date: 02/12/2024
Medicare PECOS Information:
- PECOS PAC ID: 3779828512
- Enrollment ID: O20181221002255
Medical Identifiers
Medical identifiers for Guadalupe Medical Group Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1629547104 | 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.
Guadalupe Medical Group Llc acts as a billing entity for following providers:
| Provider Name | Michael D Cormier |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1851499057
PECOS PAC ID: 6901879824
Enrollment ID: I20040823001155 |
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| Provider Name | Coby L Johns |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1366494007
PECOS PAC ID: 8527032721
Enrollment ID: I20051025000886 |
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| Provider Name | Robert Greg Schneider |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1063291169
PECOS PAC ID: 4486187671
Enrollment ID: I20241025003568 |
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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. Guadalupe Medical Group 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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Guadalupe Medical Group Llc
4432 N Miller Rd Ste 102,
Scottsdale, AZ 85251-3697
Ph: (480) 306-7227 | Guadalupe Medical Group Llc
1855 E Guadalupe Rd Ste 112,
Tempe, AZ 85283-3269
Ph: (480) 839-8552 |
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