Dr Donni T Fleischaker, MD is a medicare enrolled "Pediatrics" provider in Phoenix, Arizona. Her current practice location is
3933 E Edna Ave, Ste 102, Phoenix, Arizona. You can reach out to her office (for appointments etc.) via phone at
(602) 992-4246.
Dr Donni T Fleischaker is licensed to practice in Arizona (license number 17503) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1619074358.
Healthcare Provider's Profile
| Full Name | Dr Donni T Fleischaker |
|---|
| Gender | Female |
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| Speciality | Pediatrics |
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| Location | 3933 E Edna Ave, Phoenix, Arizona |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1619074358
- Provider Enumeration Date: 09/17/2006
- Last Update Date: 06/20/2023
Medicare PECOS Information:
- PECOS PAC ID: 9931574241
- Enrollment ID: I20230418001835
Medical Identifiers
Medical identifiers for Dr Donni T Fleischaker such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1619074358 | NPI | - | NPPES |
| 279168 | Other | AZ | DES |
| 4077245 | Other | AZ | AETNA |
| 70441 | Other | | PACIFICARE |
| 1902518988 | Other | AZ | ASSOCIATED NPI NOVA MEDICAL ASSOCIATES |
| 3324076-007 | Other | AZ | CIGNA |
| AZ0864000 | Other | AZ | BCBS |
| 1Z7395 | Other | AZ | HEALTHNET |
| 279168003 | Medicaid | AZ | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 17503 (Arizona) | Secondary |
| 101YM0800X | Counselor - Mental Health | 17503 (Arizona) | Secondary |
| 103T00000X | Psychologist | 17503 (Arizona) | Secondary |
| 103TB0200X | Psychologist - Cognitive & Behavioral | 17503 (Arizona) | Secondary |
| 103TP2701X | Psychologist - Group Psychotherapy | 17503 (Arizona) | Secondary |
| 174400000X | Specialist | 17503 (Arizona) | Secondary |
| 207Q00000X | Family Medicine | 17503 (Arizona) | Secondary |
| 2080P0006X | Pediatrics - Developmental - Behavioral Pediatrics | 17503 (Arizona) | Secondary |
| 251S00000X | Community/behavioral Health | 17503 (Arizona) | Secondary |
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 17503 (Arizona) | Secondary |
| 208000000X | Pediatrics | 17503 (Arizona) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Donni T Fleischaker allows following entities to bill medicare on her behalf.
| Entity Name | Medipro Solutions Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1548035918
PECOS PAC ID: 5799138350
Enrollment ID: O20240130003331 |
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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. Dr Donni T Fleischaker 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 |
|---|
Dr Donni T Fleischaker, MD
3933 E Edna Ave, Ste 102,
Phoenix, AZ 85032-2127
Ph: (602) 992-4246 | Dr Donni T Fleischaker, MD
3933 E Edna Ave, Ste 102,
Phoenix, AZ 85032-2127
Ph: (602) 992-4246 |
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