Dr Andrea Kay Irving, DO is a
General Practice physician based in Black Canyon City, Arizona. Dr Andrea Kay Irving is licensed to practice in Arizona (license number 005207) and her current practice location is 19251 E Oasis Dr, Black Canyon City, Arizona. She can be reached at her office (for appointments etc.) via phone at
(623) 374-0200.
NPI number for Dr Andrea Kay Irving is 1780858878 and her current mailing address is 164 August Lily Crescent, Gloucester, ON. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1780858878.
Physician's Profile
Full Name | Dr Andrea Kay Irving |
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Gender | Female |
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Speciality | General Practice |
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Location | 19251 E Oasis Dr, Black Canyon City, Arizona |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1780858878
- Provider Enumeration Date: 04/18/2008
- Last Update Date: 10/12/2021
Medical Identifiers
Medical identifiers for Dr Andrea Kay Irving such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1780858878 | NPI | - | NPPES |
005207 | Other | AZ | AZ STATE LICENSE NUMBER |
R1055 | Other | AZ | TRAINING PERMIT |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207V00000X | Obstetrics & Gynecology | R1055 (Arizona) | Secondary |
207VG0400X | Obstetrics & Gynecology - Gynecology | 005207 (Arizona) | Secondary |
208D00000X | General Practice | 005207 (Arizona) | 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. Dr Andrea Kay Irving 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 |
Dr Andrea Kay Irving, DO 164 August Lily Crescent, Gloucester, ON K1V 2-E3 Ph: () - | Dr Andrea Kay Irving, DO 19251 E Oasis Dr, Black Canyon City, AZ 85324-8878 Ph: (623) 374-0200 |
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