Monica R Vandivort, MD in Sierra Vista, AZ - Medicare Geriatric Medicine

Monica R Vandivort, MD is a medicare enrolled "Internal Medicine - Geriatric Medicine" physician in Sierra Vista, Arizona. She went to University Of Kansas School Of Med (kc/wich/sal) and graduated in 1989 and has 36 years of diverse experience with area of expertise as Geriatric Medicine. She is a member of the group practice Banner -- University Medical Group, Lcs Healthcare Group Llc and her current practice location is 599 E Wilcox Dr, Sierra Vista, Arizona. You can reach out to her office (for appointments etc.) via phone at (520) 459-4604.

Monica R Vandivort is licensed to practice in Arizona (license number 26972) 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 1720044365.

Contact Information

	Monica R Vandivort, MD
	599 E Wilcox Dr, Sierra Vista, AZ 85635-2531
	(520) 459-4604
	(520) 458-2444

Map and Direction

Physician's Profile

Full Name	Monica R Vandivort
Gender	Female
Speciality	Geriatric Medicine
Experience	36 Years
Location	599 E Wilcox Dr, Sierra Vista, Arizona
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:

Monica R Vandivort attended and graduated from University Of Kansas School Of Med (kc/wich/sal) in 1989

NPI Data:

NPI Number: 1720044365
Provider Enumeration Date: 04/22/2006
Last Update Date: 04/15/2024

Medicare PECOS Information:

PECOS PAC ID: 3577548221
Enrollment ID: I20100729000917

Medical Identifiers

Medical identifiers for Monica R Vandivort such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720044365	NPI	-	NPPES
445230	Medicaid	AZ

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RG0300X	Internal Medicine - Geriatric Medicine	26972 (Arizona)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Casa De La Paz Hospice	Sierra vista, AZ	Hospice
Canyon Vista Medical Center	Sierra vista, AZ	Hospital
Haven Of Sierra Vista, Llc	Sierra vista, AZ	Nursing home
Good Samaritan Society-quiburi Mission	Benson, AZ	Nursing home

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Banner -- University Medical Group	7719899871	817
Lcs Healthcare Group Llc	8820391436	4

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. Monica R Vandivort allows following entities to bill medicare on her behalf.

Entity Name	Banner -- University Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508809427 PECOS PAC ID: 7719899871 Enrollment ID: O20031105000694

Entity Name	Lcs Healthcare Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1992174585 PECOS PAC ID: 8820391436 Enrollment ID: O20160114001076

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. Monica R Vandivort 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
Monica R Vandivort, MD 599 E Wilcox Dr, Sierra Vista, AZ 85635-2531 Ph: (520) 459-4604	Monica R Vandivort, MD 599 E Wilcox Dr, Sierra Vista, AZ 85635-2531 Ph: (520) 459-4604

Reviews and Comments

Internal Medicine Doctors in Sierra Vista, AZ

Ricardo Dias Goncalves Spaid, MD Geriatric Medicine Medicare: Not Enrolled in Medicare Practice Location: 5700 E Highway 90, Sierra Vista, AZ 85635 Phone: 520-263-2000
Jose Ignacio Gonzalez, MD Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 157 N Coronado Dr, Ste A, Sierra Vista, AZ 85635 Phone: 520-458-1208 Fax: 520-458-1675
Rebecca Pradhan-nara, M.D. Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 77 Calle Portal, Suite B260a, Sierra Vista, AZ 85635 Phone: 520-226-4338 Fax: 520-335-8705
Anum Riaz, MD Geriatric Medicine Medicare: Not Enrolled in Medicare Practice Location: 5700 E Highway 90, Sierra Vista, AZ 85635 Phone: 520-263-2000
Mr. Sami Aqqad, M.D. Geriatric Medicine Medicare: Not Enrolled in Medicare Practice Location: 5700 Az-90, Sierra Vista, AZ 85635 Phone: 520-263-2000
Mustafa Faisal Mustafa Douglas, MD Geriatric Medicine Medicare: Medicare Enrolled Practice Location: 5700 E Highway 90, Sierra Vista, AZ 85635 Phone: 520-263-3190
Mrs. Ayah Khaled-fozan Almufleh, M.D Geriatric Medicine Medicare: Not Enrolled in Medicare Practice Location: 5700 Highway 90, Sierra Vista, AZ 85635 Phone: 520-263-2000 Fax: 520-263-2200

Monica R Vandivort, MD - Medicare Geriatric Medicine in Sierra Vista, AZ