Dynamic Interventions Of Arizona, Llc is a medicare enrolled "Speech-language Pathologist" provider in Golden Valley, Arizona. Their current practice location is
4995 Us Highway 68, Golden Valley, Arizona. You can reach out to their office (for appointments etc.) via phone at
(928) 707-2416.
Dynamic Interventions Of Arizona, Llc is licensed to practice in Arizona (license number ) and it also participates in the medicare program. Dynamic Interventions Of Arizona, Llc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1316191471.
Healthcare Provider's Profile
| Full Name | Dynamic Interventions Of Arizona, Llc |
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| Type | Facility |
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| Speciality | Speech-language Pathologist |
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| Location | 4995 Us Highway 68, Golden Valley, Arizona |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1316191471
- Provider Enumeration Date: 11/14/2008
- Last Update Date: 01/30/2023
Medicare PECOS Information:
- PECOS PAC ID: 2961753868
- Enrollment ID: O20180914001811
Medical Identifiers
Medical identifiers for Dynamic Interventions Of Arizona, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1316191471 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 235Z00000X | Speech-language Pathologist | (Arizona) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Dynamic Interventions Of Arizona, Llc acts as a billing entity for following providers:
| Provider Name | Aimee Walton |
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| Provider Type | Practitioner - Qualified Speech Language Pathologist |
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| Provider Identifiers | NPI Number: 1083914899
PECOS PAC ID: 2062665219
Enrollment ID: I20130121000230 |
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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. Dynamic Interventions Of Arizona, Llc is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Dynamic Interventions Of Arizona, Llc
2532 N 4th St # 481,
Flagstaff, AZ 86004-3712
Ph: (928) 226-1563 | Dynamic Interventions Of Arizona, Llc
4995 Us Highway 68,
Golden Valley, AZ 86413-5500
Ph: (928) 707-2416 |
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