Advanced Spine And Pain Llc - Medicare in Phoenix, AZ

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Advanced Spine And Pain Llc is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" provider in Phoenix, Arizona. Their current practice location is 2525 W Greenway Rd Ste 125, Phoenix, Arizona. You can reach out to their office (for appointments etc.) via phone at (480) 640-0513.

Advanced Spine And Pain Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Advanced Spine And Pain 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 1356950653.

Contact Information

Advanced Spine And Pain Llc
2525 W Greenway Rd Ste 125,
Phoenix, AZ 85023-4226
(480) 640-0513
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameAdvanced Spine And Pain Llc
TypeFacility
SpecialityPain Medicine - Interventional Pain Medicine
Location2525 W Greenway Rd Ste 125, Phoenix, Arizona
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1356950653
  • Provider Enumeration Date: 07/23/2020
  • Last Update Date: 07/09/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 0941610075
  • Enrollment ID: O20201102000020

Medical Identifiers

Medical identifiers for Advanced Spine And Pain Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1356950653NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
111N00000XChiropractor (* (Not Available))Secondary
207LP2900XAnesthesiology - Pain Medicine (* (Not Available))Secondary
207T00000XNeurological Surgery (* (Not Available))Secondary
207X00000XOrthopaedic Surgery (* (Not Available))Secondary
208100000XPhysical Medicine & Rehabilitation (* (Not Available))Secondary
2085R0202XRadiology - Diagnostic Radiology (* (Not Available))Secondary
208VP0014XPain Medicine - Interventional Pain Medicine (* (Not Available))Primary
225100000XPhysical Therapist (* (Not Available))Secondary
363A00000XPhysician Assistant (* (Not Available))Secondary
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. Advanced Spine And Pain Llc acts as a billing entity for following providers:
Provider NameMarc L Eckhauser
Provider TypePractitioner - Vascular Surgery
Provider IdentifiersNPI Number: 1811997513
PECOS PAC ID: 2567362676
Enrollment ID: I20040113000443
Provider NameScott R Schalkle
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1770701492
PECOS PAC ID: 4880646819
Enrollment ID: I20050217000427
Provider NameSteven Adler
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1316064363
PECOS PAC ID: 4688680937
Enrollment ID: I20060224000053
Provider NameTodd W Turley
Provider TypePractitioner - Interventional Pain Management
Provider IdentifiersNPI Number: 1437123775
PECOS PAC ID: 1658283700
Enrollment ID: I20070413000210
Provider NameAbram Hans Burgher
Provider TypePractitioner - Interventional Pain Management
Provider IdentifiersNPI Number: 1942274105
PECOS PAC ID: 2365465309
Enrollment ID: I20090812000123
Provider NameTimothy A Luke
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1437125846
PECOS PAC ID: 1456312560
Enrollment ID: I20091209000185
Provider NameAlicia A Hollister
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1518261023
PECOS PAC ID: 0547459919
Enrollment ID: I20110117000139
Provider NameDrew Hunter
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1649415308
PECOS PAC ID: 7416125562
Enrollment ID: I20110718000071
Provider NameKelly M Wong
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1174803605
PECOS PAC ID: 9830362243
Enrollment ID: I20111031000731
Provider NameTodd Mcmurdie
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1972621258
PECOS PAC ID: 0042473274
Enrollment ID: I20120524000716
Provider NameDavid R Morales
Provider TypePractitioner - Pain Management
Provider IdentifiersNPI Number: 1316248206
PECOS PAC ID: 2961620299
Enrollment ID: I20140828002068
Provider NameJarrett Michael Leathem
Provider TypePractitioner - Interventional Pain Management
Provider IdentifiersNPI Number: 1205193109
PECOS PAC ID: 9739458332
Enrollment ID: I20170712003016
Provider NameMarybeth Barcome
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1144743071
PECOS PAC ID: 6507139680
Enrollment ID: I20170912002101
Provider NameJenise Ann Tondini
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1760597389
PECOS PAC ID: 4880681121
Enrollment ID: I20180226001772
Provider NameDavid Gordon Currie
Provider TypePractitioner - Pain Management
Provider IdentifiersNPI Number: 1811316490
PECOS PAC ID: 5496002578
Enrollment ID: I20180719004036
Provider NameStephanie L Terrill
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1861971590
PECOS PAC ID: 2961745161
Enrollment ID: I20190509001678
Provider NameNavkirat S Bajwa
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1568805174
PECOS PAC ID: 5890084636
Enrollment ID: I20190819000397
Provider NameRoy G O'neil
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1275911968
PECOS PAC ID: 3779885165
Enrollment ID: I20190822002868
Provider NamePeter T Mccunniff
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1760802565
PECOS PAC ID: 6002110129
Enrollment ID: I20190916000286
Provider NameMark A Kallgren
Provider TypePractitioner - Pain Management
Provider IdentifiersNPI Number: 1700841541
PECOS PAC ID: 4587747563
Enrollment ID: I20190923003432
Provider NameNeil Ghodadra
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1811144561
PECOS PAC ID: 3476732751
Enrollment ID: I20210303002839
Provider NameKavi Raval
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1326425463
PECOS PAC ID: 7911201454
Enrollment ID: I20211004001215
Provider NameAlexander Dydyk
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1912435694
PECOS PAC ID: 3577986512
Enrollment ID: I20220525001245
Provider NameVikram Mayuran
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1568879773
PECOS PAC ID: 3375878366
Enrollment ID: I20220817003956
Provider NameAwnik Sarkar
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1215318381
PECOS PAC ID: 3476865783
Enrollment ID: I20221108001311
Provider NameRenee Teresa Oroc
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1386347508
PECOS PAC ID: 4981079803
Enrollment ID: I20230406002440
Provider NameJawad Arshad
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1548896483
PECOS PAC ID: 1658779939
Enrollment ID: I20230630001428
Provider NameNils Nystrom
Provider TypePractitioner - Hand Surgery
Provider IdentifiersNPI Number: 1245280361
PECOS PAC ID: 9436101409
Enrollment ID: I20231003003319
Provider NameLauren Mills
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1376921023
PECOS PAC ID: 3678851557
Enrollment ID: I20240118000822
Provider NameDilantha Ellegala
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1710056080
PECOS PAC ID: 4284654476
Enrollment ID: I20240516003001
Provider NameChad Mears
Provider TypePractitioner - Physical Medicine And Rehabilitation
Provider IdentifiersNPI Number: 1477015584
PECOS PAC ID: 3971831579
Enrollment ID: I20240620000373
Provider NameJeffrey Krause
Provider TypePractitioner - Pain Management
Provider IdentifiersNPI Number: 1902167497
PECOS PAC ID: 7517388515
Enrollment ID: I20241119004593
Provider NameStephen J Kominsky
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1992706808
PECOS PAC ID: 1951200773
Enrollment ID: I20250604001379
Provider NameSandra Lynne Van Dyke
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1194617696
PECOS PAC ID: 5698273555
Enrollment ID: I20250811000254
Provider NameDiana Amarillas Martinez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1598894065
PECOS PAC ID: 5799264255
Enrollment ID: I20260205002225

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. Advanced Spine And Pain 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 AddressPractice Location Address
Advanced Spine And Pain Llc
2525 W Greenway Rd Ste 125,
Phoenix, AZ 85023-4226

Ph: (480) 640-0513		Advanced Spine And Pain Llc
2525 W Greenway Rd Ste 125,
Phoenix, AZ 85023-4226

Ph: (480) 640-0513

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.

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