Mr Miguel Fonseca-moreno, in Anthem, AZ - Medicare Internal Medicine

Mr Miguel Fonseca-moreno, is a medicare enrolled "Internal Medicine" physician in Anthem, Arizona. His current practice location is 42104 N Venture Dr Ste D118, Anthem, Arizona. You can reach out to his office (for appointments etc.) via phone at (623) 505-9880.

Mr Miguel Fonseca-moreno is licensed to practice in Arizona (license number 10680) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1417724402.

Contact Information

	Mr Miguel Fonseca-moreno,
	42104 N Venture Dr Ste D118, Anthem, AZ 85086-3837
	(623) 505-9880
	Not Available

Map and Direction

Physician's Profile

Full Name	Mr Miguel Fonseca-moreno
Gender	Male
Speciality	Internal Medicine
Location	42104 N Venture Dr Ste D118, Anthem, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1417724402
Provider Enumeration Date: 12/08/2023
Last Update Date: 12/02/2024

Medicare PECOS Information:

PECOS PAC ID: 9739611179
Enrollment ID: I20241010001304

Medical Identifiers

Medical identifiers for Mr Miguel Fonseca-moreno such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417724402	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	10680 (Arizona)	Primary
363A00000X	Physician Assistant	(* (Not Available))	Secondary

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. Mr Miguel Fonseca-moreno 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
Mr Miguel Fonseca-moreno, 80 W Maryland Ave Apt 207, Phoenix, AZ 85013-1266 Ph: (480) 686-3301	Mr Miguel Fonseca-moreno, 42104 N Venture Dr Ste D118, Anthem, AZ 85086-3837 Ph: (623) 505-9880

Reviews and Comments

Internal Medicine Doctors in Anthem, AZ

Joan Frances C Chua, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 3655 W Anthem Way, Ste A-109; Pmb 313, Anthem, AZ 85086 Phone: 623-879-5288
Dustin Ray Everett, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3655 W Anthem Way, Suite A109 Pmb 313, Anthem, AZ 85086 Phone: 623-505-9880 Fax: 623-505-9880
Dr. Lucia Soto, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3655 W Anthem Way, Suite #a109 Pmb 313, Anthem, AZ 86086 Phone: 623-505-9880
Dr. John Boccia, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 40417 N Capra Way, Anthem, AZ 85086 Phone: 623-551-9478 Fax: 623-551-9479
Linda Brown, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3655 W Anthem Way Ste A109, Anthem, AZ 85086 Phone: 623-505-9880 Fax: 623-505-9880
Nirmalji Odedra, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3655 W. Anthem Wy Ste A-109 Pmb313, Anthem, AZ 85086 Phone: 623-505-4479

Mr Miguel Fonseca-moreno, - Medicare Internal Medicine in Anthem, AZ