Mira Vita Metamophosis, Llc - Primary Care in Glendale, AZ

Mira Vita Metamophosis, Llc is a primary clinic (Internal Medicine) in Glendale, Arizona. The current practice location for Mira Vita Metamophosis, Llc is 5620 W Thunderbird Rd Ste H2, Glendale, Arizona. For appointments, you can reach them via phone at (480) 407-9007. The mailing address for Mira Vita Metamophosis, Llc is 5620 W Thunderbird Rd Ste H2, Glendale, Arizona and phone number is (480) 407-9007.

Mira Vita Metamophosis, Llc is licensed to practice in Arizona (license number 4223) and its NPI number is 1073910873. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (480) 407-9007.

Contact Information

Mira Vita Metamophosis, Llc
5620 W Thunderbird Rd Ste H2
Glendale
AZ 85306-4653
(480) 407-9007
(833) 817-6790

Map and Direction


Primary Care Clinic Profile

Full NameMira Vita Metamophosis, Llc
SpecialityInternal Medicine
Location5620 W Thunderbird Rd Ste H2, Glendale, Arizona
Authorized Official Name and PositionAngela Marie Derosa (OWNER)
Authorized Official Contact4806194097
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mira Vita Metamophosis, Llc
5620 W Thunderbird Rd Ste H2
Glendale
AZ 85306-4653

Ph: (480) 407-9007
Mira Vita Metamophosis, Llc
5620 W Thunderbird Rd Ste H2
Glendale
AZ 85306-4653

Ph: (480) 407-9007

NPI Details:

NPI Number1073910873
Provider Enumeration Date11/24/2014
Last Update Date01/30/2020

Medical Identifiers

Medical identifiers for Mira Vita Metamophosis, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073910873NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 4223 (Arizona)Primary
207R00000XInternal Medicine (* (Not Available))Secondary

Reviews and Comments


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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.