Surprise Medical Group Llc is a
General Practice based in Surprise, Arizona. Surprise Medical Group Llc is licensed to practice in * (Not Available) (license number ) and their current practice location is
13733 N. Prasada Parkway Suite 100, Surprise, Arizona. It can be reached at their office (for appointments etc.) via phone at
(480) 497-2900.
NPI number for Surprise Medical Group Llc is 1982370839 and their current mailing address is 754 S Val Vista Dr Ste 105, Gilbert, Arizona. Surprise Medical Group Llc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1982370839.
Healthcare Provider's Profile
| Full Name | Surprise Medical Group Llc |
|---|
| Type | Facility |
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| Speciality | General Practice |
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| Location | 13733 N. Prasada Parkway Suite 100, Surprise, Arizona |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1982370839
- Provider Enumeration Date: 08/20/2021
- Last Update Date: 08/20/2021
Medical Identifiers
Medical identifiers for Surprise Medical Group Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1982370839 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 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 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. Surprise Medical Group Llc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Surprise Medical Group Llc
754 S Val Vista Dr Ste 105,
Gilbert, AZ 85296-3139
Ph: () - | Surprise Medical Group Llc
13733 N. Prasada Parkway Suite 100,
Surprise, AZ 85388
Ph: (480) 497-2900 |
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