Ch Specialty Services Az Llc - Medicare Primary Care in Surprise, AZ

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Ch Specialty Services Az Llc is a medicare enrolled primary clinic (Internal Medicine) in Surprise, Arizona. The current practice location for Ch Specialty Services Az Llc is 13755 N Litchfield Rd Ste 105, Surprise, Arizona. For appointments, you can reach them via phone at (337) 991-9276. The mailing address for Ch Specialty Services Az Llc is 1509 Dulles Dr, Lafayette, Louisiana and phone number is (337) 991-9276.

Ch Specialty Services Az Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1982303392. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (337) 991-9276.

Contact Information

Ch Specialty Services Az Llc
13755 N Litchfield Rd Ste 105
Surprise
AZ 85379-4288
(337) 991-9276
Not Available

Map and Direction


Primary Care Clinic Profile

Full NameCh Specialty Services Az Llc
SpecialityInternal Medicine
Location13755 N Litchfield Rd Ste 105, Surprise, Arizona
Authorized Official Name and PositionNicole Howard (SR VP OF ADMINISTRATIVE SERVICES)
Authorized Official Contact3379919276
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ch Specialty Services Az Llc
1509 Dulles Dr
Lafayette
LA 70506-3718

Ph: (337) 991-9276		Ch Specialty Services Az Llc
13755 N Litchfield Rd Ste 105
Surprise
AZ 85379-4288

Ph: (337) 991-9276

NPI Details:

NPI Number1982303392
Provider Enumeration Date02/24/2023
Last Update Date02/24/2023

Medicare PECOS Information:

Medicare PECOS PAC ID7214301621
Medicare Enrollment IDO20230327002334

Medical Identifiers

Medical identifiers for Ch Specialty Services Az Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1982303392NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Ch Specialty Services Az Llc acts as a billing entity for following providers:
Provider NameAntonio Gamboa
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1154356780
PECOS PAC ID: 2264468222
Enrollment ID: I20050711000736
Provider NameDanielle D Garcia
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1851385207
PECOS PAC ID: 8820016538
Enrollment ID: I20051110000412
Provider NameChristina L Summers
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1821319872
PECOS PAC ID: 7113101098
Enrollment ID: I20110419000057
Provider NameChidinma F Acheampong
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154718328
PECOS PAC ID: 3971824087
Enrollment ID: I20150602000013
Provider NameDiana Mccully
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1972973022
PECOS PAC ID: 5991002834
Enrollment ID: I20160321002023
Provider NameLinda Alberino
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1225141096
PECOS PAC ID: 6709813785
Enrollment ID: I20160427002027
Provider NameStephanie L Martinez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1114437084
PECOS PAC ID: 9436413895
Enrollment ID: I20180510002328
Provider NameDominique Pinilla
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124103965
PECOS PAC ID: 4880604446
Enrollment ID: I20180705001546
Provider NameBrittany A Mcarthur
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1649653379
PECOS PAC ID: 2062729262
Enrollment ID: I20191029001660
Provider NameDeborah Koval
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1811543317
PECOS PAC ID: 7214369024
Enrollment ID: I20191118000049
Provider NameEjiro Ojameruaye
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1376027144
PECOS PAC ID: 3779827381
Enrollment ID: I20200303002926
Provider NameKarissa Nawal Alkhafi
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1598391500
PECOS PAC ID: 5294151270
Enrollment ID: I20200820003495
Provider NameMargo Ruth Flores
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1699365031
PECOS PAC ID: 3779729181
Enrollment ID: I20210416000567
Provider NameAudrianna Sparks
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1245766294
PECOS PAC ID: 1355615626
Enrollment ID: I20230120001081
Provider NameRaquel Isabel Ortiz Cidone
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154047629
PECOS PAC ID: 5395110555
Enrollment ID: I20230331002157
Provider NameBrinda Patel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1790418960
PECOS PAC ID: 5799150272
Enrollment ID: I20230414001631
Provider NameSara Shayan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1629737390
PECOS PAC ID: 1557716693
Enrollment ID: I20231010003489
Provider NameSeth Six
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1164039988
PECOS PAC ID: 3678985645
Enrollment ID: I20231031003772
Provider NameEman Yousif
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1699295733
PECOS PAC ID: 6103198916
Enrollment ID: I20231221003612
Provider NameCody Guggenmos
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1396242731
PECOS PAC ID: 9739514100
Enrollment ID: I20240109004347
Provider NameMauricio Pinto
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1881860724
PECOS PAC ID: 8224286182
Enrollment ID: I20240209001968
Provider NameKimberly Dawn Lee
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1104502590
PECOS PAC ID: 2163867631
Enrollment ID: I20240224000455
Provider NamePaula Requeijo
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1427084763
PECOS PAC ID: 8325003742
Enrollment ID: I20240611003742
Provider NameShaun Christian Java
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1265297097
PECOS PAC ID: 3173067014
Enrollment ID: I20240702001779
Provider NameChante Campbell-nixon
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1649868738
PECOS PAC ID: 7416361126
Enrollment ID: I20240815002363
Provider NameDavid Ward
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1922435759
PECOS PAC ID: 2365673464
Enrollment ID: I20240819002493
Provider NameBenjamin Reine
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1922373935
PECOS PAC ID: 6305075805
Enrollment ID: I20240920002749
Provider NameMia Stroble
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1215575956
PECOS PAC ID: 7618398918
Enrollment ID: I20241003003692
Provider NameLeslie Sheffield
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1538532528
PECOS PAC ID: 5799089157
Enrollment ID: I20241204002148

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.