Evolve Flagstaff Llc is a
Clinic/center - Physical Therapy based in Flagstaff, Arizona. Evolve Flagstaff Llc is licensed to practice in * (Not Available) (license number ) and their current practice location is
123 W Birch Ave Ste 100, Flagstaff, Arizona. It can be reached at their office (for appointments etc.) via phone at
(928) 793-6237.
NPI number for Evolve Flagstaff Llc is 1114480183 and their current mailing address is 123 W Birch Ave Ste 100, Flagstaff, Arizona. Evolve Flagstaff Llc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1114480183.
Healthcare Provider's Profile
| Full Name | Evolve Flagstaff Llc |
|---|
| Type | Facility |
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| Speciality | Clinic/center - Physical Therapy |
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| Location | 123 W Birch Ave Ste 100, Flagstaff, 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: 1114480183
- Provider Enumeration Date: 04/08/2019
- Last Update Date: 04/08/2019
Medical Identifiers
Medical identifiers for Evolve Flagstaff Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1114480183 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Secondary |
| 261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Primary |
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. Evolve Flagstaff 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 |
|---|
Evolve Flagstaff Llc
123 W Birch Ave Ste 100,
Flagstaff, AZ 86001-4508
Ph: (928) 793-6237 | Evolve Flagstaff Llc
123 W Birch Ave Ste 100,
Flagstaff, AZ 86001-4508
Ph: (928) 793-6237 |
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