Itoro Elijah, is a medicare enrolled "General Practice" physician in Laveen, Arizona. She went to University Of Utah School Of Medicine and graduated in 2006 and has 18 years of diverse experience with area of expertise as General Practice. She is a member of the group practice Banner Urgent Care Services Llc and her current practice location is
5130 W Baseline Rd, Laveen, Arizona. You can reach out to her office (for appointments etc.) via phone at
(602) 237-7373.
Itoro Elijah is licensed to practice in Arizona (license number 46474) 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 1568667947.
Physician's Profile
Full Name | Itoro Elijah |
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Gender | Female |
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Speciality | General Practice |
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Experience | 18 Years |
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Location | 5130 W Baseline Rd, Laveen, Arizona |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Itoro Elijah attended and graduated from University Of Utah School Of Medicine in 2006
NPI Data:
- NPI Number: 1568667947
- Provider Enumeration Date: 06/18/2007
- Last Update Date: 03/07/2015
Medicare PECOS Information:
- PECOS PAC ID: 9436370954
- Enrollment ID: I20141027002359
Medical Identifiers
Medical identifiers for Itoro Elijah such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1568667947 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | 46474 (Arizona) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Banner Urgent Care Services Llc | 4284921610 | 200 |
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. Itoro Elijah allows following entities to bill medicare on her behalf.
Entity Name | Urgent Care Centers Of Arizona, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1013421429 PECOS PAC ID: 5890971097 Enrollment ID: O20110524000733 |
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Entity Name | Banner Urgent Care Arizona Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1316349855 PECOS PAC ID: 3678749496 Enrollment ID: O20111228000784 |
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Entity Name | Banner Urgent Care Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1609229764 PECOS PAC ID: 4284921610 Enrollment ID: O20160928001188 |
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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. Itoro Elijah 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 |
Itoro Elijah, 5130 W Baseline Rd, Laveen, AZ 85339-2984 Ph: (602) 237-7373 | Itoro Elijah, 5130 W Baseline Rd, Laveen, AZ 85339-2984 Ph: (602) 237-7373 |
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