Premier Physician's Group, Pllc - Medicare in Mesa, AZ

  1. Home
Premier Physician's Group, Pllc is a medicare enrolled "Clinic/center - Pain" provider in Mesa, Arizona. Their current practice location is 4540 E Baseline Rd Ste 105, Mesa, Arizona. You can reach out to their office (for appointments etc.) via phone at (480) 272-8944.

Premier Physician's Group, Pllc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Premier Physician's Group, Pllc 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 1568643047.

Contact Information

Premier Physician's Group, Pllc
4540 E Baseline Rd Ste 105,
Mesa, AZ 85206-4616
(480) 272-8944
(480) 237-5682

Map and Direction




Healthcare Provider's Profile

Full NamePremier Physician's Group, Pllc
TypeFacility
SpecialityClinic/center - Pain
Location4540 E Baseline Rd Ste 105, Mesa, Arizona
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1568643047
  • Provider Enumeration Date: 11/26/2007
  • Last Update Date: 05/12/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 8426139213
  • Enrollment ID: O20080117000803

Medical Identifiers

Medical identifiers for Premier Physician's Group, Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1568643047NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
111N00000XChiropractor (* (Not Available))Secondary
207LP2900XAnesthesiology - Pain Medicine (* (Not Available))Secondary
207QA0505XFamily Medicine - Adult Medicine (* (Not Available))Secondary
207R00000XInternal Medicine (* (Not Available))Secondary
208100000XPhysical Medicine & Rehabilitation (* (Not Available))Secondary
2081P2900XPhysical Medicine & Rehabilitation - Pain Medicine (* (Not Available))Secondary
261QP3300XClinic/center - Pain (* (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. Premier Physician's Group, Pllc acts as a billing entity for following providers:
Provider NameChristopher S Ray
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1548267131
PECOS PAC ID: 1658341326
Enrollment ID: I20040729000654
Provider NameJason G Buchkowski
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1790871291
PECOS PAC ID: 4486690641
Enrollment ID: I20050628001385
Provider NameJoel Salter
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1487831129
PECOS PAC ID: 6507920105
Enrollment ID: I20140722000874
Provider NameShaun Hampton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1093261497
PECOS PAC ID: 3678858644
Enrollment ID: I20170315000379
Provider NameKurt Angus Smalls-walker
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1225556293
PECOS PAC ID: 0143573030
Enrollment ID: I20181023000897
Provider NameDavid Bennett Carlyon
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1881120079
PECOS PAC ID: 3870995574
Enrollment ID: I20210716000669
Provider NameThomas John Hulm
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1083247852
PECOS PAC ID: 8022411032
Enrollment ID: I20210728003883
Provider NameJesse Alexander Fox
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1265936140
PECOS PAC ID: 1052715612
Enrollment ID: I20210804003477

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. Premier Physician's Group, Pllc 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 AddressPractice Location Address
Premier Physician's Group, Pllc
4540 E Baseline Rd Ste 112,
Mesa, AZ 85206-4616

Ph: (480) 272-8944		Premier Physician's Group, Pllc
4540 E Baseline Rd Ste 105,
Mesa, AZ 85206-4616

Ph: (480) 272-8944

Reviews and Comments



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.