Optima Medical - Medicare Primary Care in Prescott, AZ

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Optima Medical is a medicare enrolled primary clinic (Family Medicine) in Prescott, Arizona. The current practice location for Optima Medical is 743 Miller Valley Rd, Prescott, Arizona. For appointments, you can reach them via phone at (928) 777-9600. The mailing address for Optima Medical is Po Box 5798, Scottsdale, Arizona and phone number is () -.

Optima Medical is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1821454505. 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 (928) 777-9600.

Contact Information

Optima Medical
743 Miller Valley Rd
Prescott
AZ 86301-1813
(928) 777-9600
(855) 449-5560

Map and Direction


Primary Care Clinic Profile

Full NameOptima Medical
SpecialityFamily Medicine
Location743 Miller Valley Rd, Prescott, Arizona
Authorized Official Name and PositionMichael Victor O'neil (CEO)
Authorized Official Contact4806606706
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Optima Medical
Po Box 5798
Scottsdale
AZ 85261-5798

Ph: () -		Optima Medical
743 Miller Valley Rd
Prescott
AZ 86301-1813

Ph: (928) 777-9600

NPI Details:

NPI Number1821454505
Provider Enumeration Date01/11/2016
Last Update Date08/23/2024

Medicare PECOS Information:

Medicare PECOS PAC ID4385940295
Medicare Enrollment IDO20160302001795

Medical Identifiers

Medical identifiers for Optima Medical such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1821454505NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Primary
261QP2300XClinic/center - Primary Care (* (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. Optima Medical acts as a billing entity for following providers:
Provider NameJulie L Townsend
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1962456673
PECOS PAC ID: 7214834423
Enrollment ID: I20031216000668
Provider NameHarry L Gale
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1194825828
PECOS PAC ID: 9133011521
Enrollment ID: I20040329001484
Provider NameJose L Pierrend
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1518950161
PECOS PAC ID: 2769473933
Enrollment ID: I20040518001426
Provider NameMichael P Ridge
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1689660813
PECOS PAC ID: 5890786669
Enrollment ID: I20040624000969
Provider NameCelia R Elias
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1932192747
PECOS PAC ID: 4183604390
Enrollment ID: I20040720000989
Provider NamePeter Fred Levins
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1407876303
PECOS PAC ID: 4385603380
Enrollment ID: I20041006000220
Provider NameBlair T Butterfield
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1487600219
PECOS PAC ID: 0244279263
Enrollment ID: I20050428001130
Provider NameClaude C Fosdick
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1568408516
PECOS PAC ID: 6305868134
Enrollment ID: I20051221000375
Provider NameLinda J Nelson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013291707
PECOS PAC ID: 2668496266
Enrollment ID: I20060123000490
Provider NameTimothy C Bryan
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1831133743
PECOS PAC ID: 3577532878
Enrollment ID: I20060811000420
Provider NameBrenda Jean Adamson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1467409730
PECOS PAC ID: 3274538608
Enrollment ID: I20060919000087
Provider NameElizabeth M Tarufelli
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1336162866
PECOS PAC ID: 0749285831
Enrollment ID: I20060923000053
Provider NameGirolamo J Arpino
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1578710265
PECOS PAC ID: 4082780721
Enrollment ID: I20090625000524
Provider NameSusan Wilkinson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1982931044
PECOS PAC ID: 1759422769
Enrollment ID: I20100112000542
Provider NameJeanette Anuddin Cruz
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1891971628
PECOS PAC ID: 0042355414
Enrollment ID: I20100310000226
Provider NameChristina Goldstein-charbonneau
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1033252325
PECOS PAC ID: 8224931704
Enrollment ID: I20100819000215
Provider NameNathan Eric Beneze
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1346286325
PECOS PAC ID: 2365635356
Enrollment ID: I20101022000499
Provider NameDana M Garner
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1285905315
PECOS PAC ID: 4183886302
Enrollment ID: I20120507000030
Provider NameScott A. Finkbeiner
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1871566455
PECOS PAC ID: 6800706722
Enrollment ID: I20120816000294
Provider NameGary Milton Randall
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1194733733
PECOS PAC ID: 3678563723
Enrollment ID: I20130909000719
Provider NameColleen K Bonner
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154762888
PECOS PAC ID: 9436393303
Enrollment ID: I20130913000665
Provider NameCarolyn B Schooley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1083844757
PECOS PAC ID: 7113198466
Enrollment ID: I20130924000829
Provider NameCrystal Laura Voigt
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1578815023
PECOS PAC ID: 6901059955
Enrollment ID: I20140403001648
Provider NameNathan M Ostler
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1023412301
PECOS PAC ID: 5294957098
Enrollment ID: I20141111002002
Provider NameBrent M Kelsch
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891187340
PECOS PAC ID: 6103144001
Enrollment ID: I20150404000006
Provider NameHeather N Armbrust
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1912373234
PECOS PAC ID: 6507176633
Enrollment ID: I20151102002265
Provider NameJessica R. Oliver
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1316316300
PECOS PAC ID: 0143525295
Enrollment ID: I20160226001438
Provider NameLindsey Robbins
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1104285253
PECOS PAC ID: 5294033841
Enrollment ID: I20160414000904
Provider NameElena S Shea
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1023150794
PECOS PAC ID: 7517091481
Enrollment ID: I20160524000667
Provider NameArmando Varela
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1679922389
PECOS PAC ID: 7012940273
Enrollment ID: I20161229001718
Provider NameLynn M Byrd
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1538606793
PECOS PAC ID: 7618251018
Enrollment ID: I20170302002483
Provider NameSusan L Zook
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1437571023
PECOS PAC ID: 4688959513
Enrollment ID: I20170316000486
Provider NameLisa Darrah
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1851830418
PECOS PAC ID: 3779868633
Enrollment ID: I20170316001450
Provider NameGabbrielle Knabe
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891233896
PECOS PAC ID: 6901182617
Enrollment ID: I20170412001462
Provider NameTina R Mickle
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1215450374
PECOS PAC ID: 3779857628
Enrollment ID: I20170915003136
Provider NameLyndsay Hafferty
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1477945095
PECOS PAC ID: 1355616657
Enrollment ID: I20171012003347
Provider NameCari M Montoya
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1518471689
PECOS PAC ID: 6507125630
Enrollment ID: I20180118001946
Provider NameShantell Leann Shipp
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1417490756
PECOS PAC ID: 2264715150
Enrollment ID: I20180226002697
Provider NameBonnie H Gehrke
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1598288144
PECOS PAC ID: 2961765722
Enrollment ID: I20180410001365
Provider NameAmy Martin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1356830574
PECOS PAC ID: 1355692153
Enrollment ID: I20180918001448
Provider NameJoshua James Johnson
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1285012666
PECOS PAC ID: 9032462239
Enrollment ID: I20181105000768
Provider NameDustin A Smith
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1417443995
PECOS PAC ID: 2860734142
Enrollment ID: I20190507002162
Provider NameApril Glenda David
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1972083566
PECOS PAC ID: 0648513309
Enrollment ID: I20190520002970
Provider NameTammy Lynn Tunis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1447809926
PECOS PAC ID: 3779919949
Enrollment ID: I20200206001358
Provider NameDanielle Marie Durnan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1306181656
PECOS PAC ID: 0749617546
Enrollment ID: I20200217000693
Provider NameAmie Michelle Seitz
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1861032203
PECOS PAC ID: 4486070307
Enrollment ID: I20200821001624
Provider NameAric Ra-sean Ray
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1245843465
PECOS PAC ID: 2567872625
Enrollment ID: I20201102001524
Provider NameKelly P Harte
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1437536158
PECOS PAC ID: 9436468980
Enrollment ID: I20201124002191
Provider NameYvette Dawn Grijalva
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1477187557
PECOS PAC ID: 0446664684
Enrollment ID: I20210128001746
Provider NameStephen Michael Panosian
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1093355430
PECOS PAC ID: 5294149993
Enrollment ID: I20210302000791
Provider NameMary Massieu
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1144644287
PECOS PAC ID: 0840501201
Enrollment ID: I20210311003043
Provider NameTheresa Ann Eblin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1568036812
PECOS PAC ID: 4880095033
Enrollment ID: I20210625001694
Provider NameMara Dawne Carson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1861038044
PECOS PAC ID: 7113329111
Enrollment ID: I20210714000173
Provider NameLindsey N Snider
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1306426739
PECOS PAC ID: 3971901323
Enrollment ID: I20211014003357
Provider NameJennifer N Peters
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1679832943
PECOS PAC ID: 0446648430
Enrollment ID: I20211025000911
Provider NameTracey Lynn Tinnon
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1043982697
PECOS PAC ID: 8820486590
Enrollment ID: I20211028003245
Provider NameTamila J Willis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1225799018
PECOS PAC ID: 2163817792
Enrollment ID: I20220318000168
Provider NameBryan Scott
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1184377889
PECOS PAC ID: 8022404839
Enrollment ID: I20220404002141
Provider NameLisa R. Salinas
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1356094353
PECOS PAC ID: 6800273871
Enrollment ID: I20220512000599
Provider NameMehrdod S Eleezeh
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1588190730
PECOS PAC ID: 1557525490
Enrollment ID: I20220607001364
Provider NameGalena Ellan Dapra
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1588196612
PECOS PAC ID: 3072993021
Enrollment ID: I20220707003088
Provider NameMargo Lidia Alvarez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1285301812
PECOS PAC ID: 8123408069
Enrollment ID: I20220708002356
Provider NameElizabeth Grace Hill
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1437809258
PECOS PAC ID: 4082098363
Enrollment ID: I20220906001858
Provider NameStephanie L Pettis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124756218
PECOS PAC ID: 1254717671
Enrollment ID: I20221007000680
Provider NameVilma M Burke
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548989577
PECOS PAC ID: 4183090442
Enrollment ID: I20221012001578
Provider NameLorraine Burton Spiers
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1053078287
PECOS PAC ID: 0244607372
Enrollment ID: I20221102003345
Provider NameNoura Louise Eleid
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1457685984
PECOS PAC ID: 7719354414
Enrollment ID: I20221109003229
Provider NameGbemisola Yemisi Chukwu
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1750037909
PECOS PAC ID: 1355719949
Enrollment ID: I20221202000756
Provider NameJoshua Aaron Thomas
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1336873249
PECOS PAC ID: 8527437169
Enrollment ID: I20221203000397
Provider NameKaren S Mason
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1184884447
PECOS PAC ID: 0042273088
Enrollment ID: I20221227002151
Provider NameLindsey Allyson Johnson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558083964
PECOS PAC ID: 3476923434
Enrollment ID: I20230109000648
Provider NameJessica Garcia
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1043923295
PECOS PAC ID: 4486027257
Enrollment ID: I20230224001887
Provider NameStephanie Green
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1871109017
PECOS PAC ID: 9830563949
Enrollment ID: I20230313000927
Provider NameKaty Dodt
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1710609128
PECOS PAC ID: 9436523073
Enrollment ID: I20230321002206
Provider NameShannon Welch
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1235609454
PECOS PAC ID: 5294109757
Enrollment ID: I20230323001615
Provider NameSamuel Adrian Lynch
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1649972431
PECOS PAC ID: 1456725795
Enrollment ID: I20230328000923
Provider NameTaylor Price
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891480588
PECOS PAC ID: 2961877469
Enrollment ID: I20230414002219
Provider NameCrystal Loreen Aroz
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1962191700
PECOS PAC ID: 0547248890
Enrollment ID: I20230607001968
Provider NameMary Katherine Busch
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1821787300
PECOS PAC ID: 5890154637
Enrollment ID: I20230711002747
Provider NameJung Baccam
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891495131
PECOS PAC ID: 8123488061
Enrollment ID: I20230724002735
Provider NameTyler C Cheatham
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1427735323
PECOS PAC ID: 6800257973
Enrollment ID: I20230804003497
Provider NameCraig Reese
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154001675
PECOS PAC ID: 9537521109
Enrollment ID: I20230814002225
Provider NameLirio Miller
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1629767876
PECOS PAC ID: 8628431715
Enrollment ID: I20230822002507
Provider NameJunnesh Sulaiman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1083395966
PECOS PAC ID: 6901260439
Enrollment ID: I20230915002002
Provider NameEleanor Bourque
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1215596531
PECOS PAC ID: 4183950348
Enrollment ID: I20230920002890
Provider NameJeramie Carr
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1447036025
PECOS PAC ID: 4880048222
Enrollment ID: I20231003003788
Provider NameVanessa Workinger
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1194427344
PECOS PAC ID: 5395190508
Enrollment ID: I20231009000443
Provider NameCharis Elizabeth Jones
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1649685322
PECOS PAC ID: 7214382803
Enrollment ID: I20231017003517
Provider NameSeth Six
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1164039988
PECOS PAC ID: 3678985645
Enrollment ID: I20231031003772
Provider NameKristin Nichole Marth
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1972284131
PECOS PAC ID: 1759731532
Enrollment ID: I20231219003589
Provider NameRacquel Pilar Galvan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1083488308
PECOS PAC ID: 3779934401
Enrollment ID: I20240108000887
Provider NameBenjamin Vandersommen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1376315598
PECOS PAC ID: 6507218625
Enrollment ID: I20240113000842
Provider NameRiley Kathleen Hordon
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1467222174
PECOS PAC ID: 3476999822
Enrollment ID: I20240308000164
Provider NameShanna Lynn Hunt
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1457650459
PECOS PAC ID: 1850692195
Enrollment ID: I20240312003455
Provider NameShannon Rachelle Clint
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1609638311
PECOS PAC ID: 5890131577
Enrollment ID: I20240316000488
Provider NameMariyah Marisella Bejarano
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1235995853
PECOS PAC ID: 7315384237
Enrollment ID: I20240327000440
Provider NameJamie Lee Rich
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1831836055
PECOS PAC ID: 6507205010
Enrollment ID: I20240417001240
Provider NameAnmol Patel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124873690
PECOS PAC ID: 2062853211
Enrollment ID: I20240518000345
Provider NameApril Janae Kimball
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1538915905
PECOS PAC ID: 6709228802
Enrollment ID: I20240521002018
Provider NameJudith L Trevisano
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1760842512
PECOS PAC ID: 5890092688
Enrollment ID: I20240529002889
Provider NameJulia Jennifer Ni
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1811509383
PECOS PAC ID: 7012359342
Enrollment ID: I20240531000967
Provider NameJessica Lynn Hoxie
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255171351
PECOS PAC ID: 6305388596
Enrollment ID: I20240603003446
Provider NameShannon Maeser
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1427804608
PECOS PAC ID: 0244772200
Enrollment ID: I20240605001562

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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.