Southwest Chiromed Goodyear Llc is a medicare enrolled "Emergency Medicine" provider in Goodyear, Arizona. Their current practice location is
14175 W Indian School Rd Ste A6, Goodyear, Arizona. You can reach out to their office (for appointments etc.) via phone at
(623) 932-5200.
Southwest Chiromed Goodyear Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Southwest Chiromed Goodyear 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 1285472969.
Healthcare Provider's Profile
Full Name | Southwest Chiromed Goodyear Llc |
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Type | Facility |
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Speciality | Emergency Medicine |
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Location | 14175 W Indian School Rd Ste A6, 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. |
NPI Data:
- NPI Number: 1285472969
- Provider Enumeration Date: 07/17/2024
- Last Update Date: 07/22/2024
Medicare PECOS Information:
- PECOS PAC ID: 9739628488
- Enrollment ID: O20240827001286
Medical Identifiers
Medical identifiers for Southwest Chiromed Goodyear Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1285472969 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
111N00000X | Chiropractor | (* (Not Available)) | Secondary |
207P00000X | Emergency Medicine | (* (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.
Southwest Chiromed Goodyear Llc acts as a billing entity for following providers:
Provider Name | David F Rusick |
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Provider Type | Practitioner - Chiropractic |
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Provider Identifiers | NPI Number: 1467529156 PECOS PAC ID: 7719958156 Enrollment ID: I20040802000350 |
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Provider Name | Daniel Bishop |
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Provider Type | Practitioner - Emergency Medicine |
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Provider Identifiers | NPI Number: 1669522587 PECOS PAC ID: 2466514401 Enrollment ID: I20090626000140 |
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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. Southwest Chiromed Goodyear 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 |
Southwest Chiromed Goodyear Llc 14175 W Indian School Rd Ste A6, Goodyear, AZ 85395-8409 Ph: (623) 932-5200 | Southwest Chiromed Goodyear Llc 14175 W Indian School Rd Ste A6, Goodyear, AZ 85395-8409 Ph: (623) 932-5200 |
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