Dr Kelli Raynell Favata, MD - Medicare Internal Medicine in Gilbert, AZ

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Dr Kelli Raynell Favata, MD is a medicare enrolled "Specialist/technologist Cardiovascular - Vascular Specialist" physician in Gilbert, Arizona. She graduated from medical school in 2007 and has 17 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Hope Diabetes Center Llc, Advanced Minimally Invasive Surgical and her current practice location is 3420 S Mercy Rd Ste 211, Gilbert, Arizona. You can reach out to her office (for appointments etc.) via phone at (866) 974-2673.

Dr Kelli Raynell Favata is licensed to practice in Arizona (license number 45344) 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 1184822348.

Contact Information

Dr Kelli Raynell Favata, MD
3420 S Mercy Rd Ste 211,
Gilbert, AZ 85297-0424
(866) 974-2673
(866) 939-2673

Map and Direction




Physician's Profile

Full NameDr Kelli Raynell Favata
GenderFemale
SpecialityInternal Medicine
Experience17 Years
Location3420 S Mercy Rd Ste 211, Gilbert, 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 Kelli Raynell Favata graduated from medical school in 2007
  NPI Data:
  • NPI Number: 1184822348
  • Provider Enumeration Date: 07/10/2007
  • Last Update Date: 09/30/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 1052507241
  • Enrollment ID: I20120526000028

Medical Identifiers

Medical identifiers for Dr Kelli Raynell Favata such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1184822348NPI-NPPES
654974MedicaidAZ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 45344 (Arizona)Secondary
246XC2903XSpecialist/technologist Cardiovascular - Vascular Specialist 45344 (Arizona)Primary
207R00000XInternal Medicine 30177 (South Carolina)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Hope Diabetes Center Llc418362048720
Advanced Minimally Invasive Surgical418375852713

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 Kelli Raynell Favata allows following entities to bill medicare on her behalf.
Entity NameMichael F Esber Dpm Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902907504
PECOS PAC ID: 7810905759
Enrollment ID: O20060404000112
Entity NameAdvanced Minimally Invasive Surgical
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295056919
PECOS PAC ID: 4183758527
Enrollment ID: O20100819001272
Entity NameMaria Gonzalez Berlari Md Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699025981
PECOS PAC ID: 2769625854
Enrollment ID: O20130820001092
Entity NameHope Diabetes Center Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104865757
PECOS PAC ID: 4183620487
Enrollment ID: O20170719003937
Entity NameCenter For Vein Restoration Az Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215411970
PECOS PAC ID: 4688927973
Enrollment ID: O20181102002643
Entity NamePulse Cardiovascular Institute Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730675547
PECOS PAC ID: 4587903364
Enrollment ID: O20190222002363
Entity NamePulse Cardiovascular Interventions Llc
Entity TypePart B Supplier - Ambulatory Surgical Center
Entity IdentifiersNPI Number: 1821584632
PECOS PAC ID: 2466792114
Enrollment ID: O20190318000447
Entity NameCvdwestgate Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023686904
PECOS PAC ID: 3678978848
Enrollment ID: O20210826000276

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 Kelli Raynell Favata 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 Kelli Raynell Favata, MD
18444 N 25th Ave Ste 310,
Phoenix, AZ 85023-1266

Ph: (866) 974-2673		Dr Kelli Raynell Favata, MD
3420 S Mercy Rd Ste 211,
Gilbert, AZ 85297-0424

Ph: (866) 974-2673

Reviews and Comments



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.