| Medix Infusion | |
|
3805 E Bell Rd Ste 5600 Phoenix AZ 85032-2190 | |
| (833) 696-3349 | |
| Not Available |
| Full Name | Medix Infusion |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 3805 E Bell Rd Ste 5600, Phoenix, Arizona |
| Authorized Official Name and Position | Maureen Craven (DIRECTOR OF REVENUE CYCLE) |
| Authorized Official Contact | 9726612273 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medix Infusion 15301 Spectrum Dr Ste 330 Addison TX 75001-6462 Ph: (972) 661-2273 | Medix Infusion 3805 E Bell Rd Ste 5600 Phoenix AZ 85032-2190 Ph: (833) 696-3349 |
| NPI Number | 1184351298 |
|---|---|
| Provider Enumeration Date | 08/08/2022 |
| Last Update Date | 10/09/2024 |
| Certification Date | 10/09/2024 |
| Medicare PECOS PAC ID | 3577949544 |
|---|---|
| Medicare Enrollment ID | O20220928001015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184351298 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Jeffrey S Gitt |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1831370741 PECOS PAC ID: 0547259160 Enrollment ID: I20100713000710 |
| Provider Name | Jennifer A Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851731053 PECOS PAC ID: 7113161589 Enrollment ID: I20130925000380 |
| Provider Name | Samantha Krage |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255977492 PECOS PAC ID: 3870984701 Enrollment ID: I20220103000512 |
| Provider Name | Maria E Coiley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659073427 PECOS PAC ID: 8628432457 Enrollment ID: I20230913001130 |
| Provider Name | Kelley Brooke Corl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699374371 PECOS PAC ID: 6608221064 Enrollment ID: I20231005000993 |
| Provider Name | Jessica Sathre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124322292 PECOS PAC ID: 6204289853 Enrollment ID: I20240130003102 |
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