Mr Michael James Sivak Iii, LPN is a
Licensed Practical Nurse based in Fountain Hills, Arizona. Mr Michael James Sivak Iii is licensed to practice in Arizona (license number LP049466) and his current practice location is
16100 E Palisades Blvd, Fountain Hills, Arizona. He can be reached at his office (for appointments etc.) via phone at
(480) 664-5500.
NPI number for Mr Michael James Sivak Iii is 1861948432 and his current mailing address is 2320 W Columbine Drive, Phoenix, Arizona. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1861948432.
Provider's Profile
Full Name | Mr Michael James Sivak Iii |
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Gender | Male |
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Speciality | Licensed Practical Nurse |
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Location | 16100 E Palisades Blvd, Fountain Hills, Arizona |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1861948432
- Provider Enumeration Date: 09/01/2016
- Last Update Date: 09/01/2016
Medical Identifiers
Medical identifiers for Mr Michael James Sivak Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1861948432 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | LP049466 (Arizona) | Primary |
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 Michael James Sivak Iii is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Michael James Sivak Iii, LPN 2320 W Columbine Drive, Phoenix, AZ 85029 Ph: (954) 649-6340 | Mr Michael James Sivak Iii, LPN 16100 E Palisades Blvd, Fountain Hills, AZ 85268 Ph: (480) 664-5500 |
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