Orange Advanced Medical Llc is a medicare enrolled "Clinic/center - Multi-specialty" provider in Phoenix, Arizona. Their current practice location is
3414 W Union Hills Dr Ste 13, Phoenix, Arizona. You can reach out to their office (for appointments etc.) via phone at
(623) 581-0051.
Orange Advanced Medical Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Orange Advanced Medical 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 1912521121.
Healthcare Provider's Profile
| Full Name | Orange Advanced Medical Llc |
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| Type | Facility |
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| Speciality | Clinic/center - Multi-specialty |
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| Location | 3414 W Union Hills Dr Ste 13, 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: 1912521121
- Provider Enumeration Date: 06/03/2020
- Last Update Date: 06/29/2020
Medicare PECOS Information:
- PECOS PAC ID: 7517380876
- Enrollment ID: O20200706002307
Medical Identifiers
Medical identifiers for Orange Advanced Medical Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1912521121 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111NP0017X | Chiropractor - Pediatric Chiropractor | (* (Not Available)) | Secondary |
| 111NX0100X | Chiropractor - Occupational Health | (* (Not Available)) | Secondary |
| 163WC0400X | Registered Nurse - Case Management | (* (Not Available)) | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Orange Advanced Medical Llc acts as a billing entity for following providers:
| Provider Name | Irene A Bird |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1144621913
PECOS PAC ID: 4183940414
Enrollment ID: I20150304002329 |
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| Provider Name | Sara Serbus |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1053781955
PECOS PAC ID: 7214246420
Enrollment ID: I20151028002147 |
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| Provider Name | Ashley N Benson |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1013408020
PECOS PAC ID: 3870845654
Enrollment ID: I20181004002953 |
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| Provider Name | Sandra R Garner |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1134761240
PECOS PAC ID: 7618302613
Enrollment ID: I20200122001090 |
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| Provider Name | Donald D Pattison |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1407919764
PECOS PAC ID: 5698866218
Enrollment ID: I20200713002565 |
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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. Orange Advanced Medical 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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Orange Advanced Medical Llc
3414 W Union Hills Dr Ste 13,
Phoenix, AZ 85027-4899
Ph: (623) 581-0051 | Orange Advanced Medical Llc
3414 W Union Hills Dr Ste 13,
Phoenix, AZ 85027-4899
Ph: (623) 581-0051 |
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