Dr Alyssa Pabelle Dipalac Vivas, DO - Medicare Family Practice in Queen Creek, AZ

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Dr Alyssa Pabelle Dipalac Vivas, DO is a medicare enrolled "Family Medicine" physician in Queen Creek, Arizona. She graduated from medical school in 2015 and has 9 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Summit Medical Group Arizona Llc and her current practice location is 21212 E Ocotillo Rd, Queen Creek, Arizona. You can reach out to her office (for appointments etc.) via phone at (602) 755-0800.

Dr Alyssa Pabelle Dipalac Vivas is licensed to practice in Arizona (license number 007363) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1720460819.

Contact Information

Dr Alyssa Pabelle Dipalac Vivas, DO
21212 E Ocotillo Rd,
Queen Creek, AZ 85142-9667
(602) 755-0800
(480) 571-7973

Map and Direction




Physician's Profile

Full NameDr Alyssa Pabelle Dipalac Vivas
GenderFemale
SpecialityFamily Practice
Experience9 Years
Location21212 E Ocotillo Rd, Queen Creek, Arizona
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Alyssa Pabelle Dipalac Vivas graduated from medical school in 2015
  NPI Data:
  • NPI Number: 1720460819
  • Provider Enumeration Date: 06/24/2015
  • Last Update Date: 12/02/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 8426306606
  • Enrollment ID: I20180803001303

Medical Identifiers

Medical identifiers for Dr Alyssa Pabelle Dipalac Vivas such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1720460819NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine R2590 (Arizona)Secondary
207Q00000XFamily Medicine 007363 (Arizona)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Summit Medical Group Arizona Llc3173872835190

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 Alyssa Pabelle Dipalac Vivas allows following entities to bill medicare on her behalf.
Entity NameNeighborhood Outreach Access To Health
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942518550
PECOS PAC ID: 3577743764
Enrollment ID: O20110204000504
Entity NameSummit Medical Group Arizona Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053810622
PECOS PAC ID: 3173872835
Enrollment ID: O20180814003015

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 Alyssa Pabelle Dipalac Vivas 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 AddressPractice Location Address
Dr Alyssa Pabelle Dipalac Vivas, DO
21212 E Ocotillo Rd,
Queen Creek, AZ 85142-9667

Ph: (602) 755-0800		Dr Alyssa Pabelle Dipalac Vivas, DO
21212 E Ocotillo Rd,
Queen Creek, AZ 85142-9667

Ph: (602) 755-0800

Reviews and Comments


Family Medicine Doctors in Queen Creek, AZ

Dr. Kaleigh Suhs, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 37100n. Gantzel Rd., Ste. 107, Queen Creek, AZ 85140
Phone: 480-394-4480    Fax: 602-805-2828
Chrystal D Lemaster, DO
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 20734 E Maya Rd Ste 101, Queen Creek, AZ 85142
Phone: 888-663-6331    
Judd A Shafer, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 7205 S Power Rd Ste 100, Queen Creek, AZ 85142
Phone: 480-728-6000    Fax: 480-728-6900
Stephanie Deborah Kotsur, NP
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 21321 E Ocotillo Rd Ste 133, Queen Creek, AZ 85142
Phone: 480-987-5525    Fax: 480-987-5115
Daniel B Hoag, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 20715 E Ocotillo Rd, Suite 102, Queen Creek, AZ 85142
Phone: 480-987-0987    
Dr. Dorian Lorrae Richardson, ND
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 36460 N Encanterra Dr, Queen Creek, AZ 85140
Phone: 520-505-1944    
Tracey Lynn Cooper, FNP-BC
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 19724 E Emperor Blvd, Queen Creek, AZ 85142
Phone: 520-349-8482    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.