Enroute Provider Services Llc - Medicare Primary Care in Glendale, AZ

Enroute Provider Services Llc is a medicare enrolled primary clinic (General Practice) in Glendale, Arizona. The current practice location for Enroute Provider Services Llc is 17505 N 79th Ave Ste 313a, Glendale, Arizona. For appointments, you can reach them via phone at (623) 225-5875. The mailing address for Enroute Provider Services Llc is 17505 N 79th Ave Ste 313a, Glendale, Arizona and phone number is (623) 225-5875.

Enroute Provider Services Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1285485920. 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 (623) 225-5875.

Contact Information

Enroute Provider Services Llc
17505 N 79th Ave Ste 313a
Glendale
AZ 85308-8730
(623) 225-5875
Not Available

Map and Direction


Primary Care Clinic Profile

Full NameEnroute Provider Services Llc
SpecialityGeneral Practice
Location17505 N 79th Ave Ste 313a, Glendale, Arizona
Authorized Official Name and PositionDunedin Hervias (FOUNDER)
Authorized Official Contact6232255875
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Enroute Provider Services Llc
17505 N 79th Ave Ste 313a
Glendale
AZ 85308-8730

Ph: (623) 225-5875
Enroute Provider Services Llc
17505 N 79th Ave Ste 313a
Glendale
AZ 85308-8730

Ph: (623) 225-5875

NPI Details:

NPI Number1285485920
Provider Enumeration Date04/01/2024
Last Update Date06/20/2024

Medicare PECOS Information:

Medicare PECOS PAC ID8820430523
Medicare Enrollment IDO20240528000351

Medical Identifiers

Medical identifiers for Enroute Provider Services Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1285485920NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice (* (Not Available))Primary
363L00000XNurse Practitioner (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Enroute Provider Services Llc acts as a billing entity for following providers:
Provider NameWilliam H Mcginnis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1275591612
PECOS PAC ID: 5698708683
Enrollment ID: I20050912000054

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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.