| Dr Anthony James Pivonka, DC | |
|
1355 S. Higley Road, Ste 102, Higley, AZ 85236-4705 | |
| (480) 892-0022 | |
| (480) 892-5509 |
| Full Name | Dr Anthony James Pivonka |
|---|---|
| Gender | Male |
| Speciality | Chiropractor |
| Location | 1355 S. Higley Road, Higley, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376587048 | NPI | - | NPPES |
| AZ0933370 | Other | AZ | BLUE CROSS BLUE SHIELD AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 5506 (Arizona) | Primary |
| 111N00000X | Chiropractor | 3889 (Colorado) | Secondary |
| Provider Name | Pivonka Health & Wellness Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1497272298 PECOS PAC ID: 7315206406 Enrollment ID: O20180118000431 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Anthony James Pivonka, DC 1355 S. Higley Road, Ste 102, Higley, AZ 85236-4705 Ph: (480) 892-0022 | Dr Anthony James Pivonka, DC 1355 S. Higley Road, Ste 102, Higley, AZ 85236-4705 Ph: (480) 892-0022 |
Pivonka Chiropractic, P.c. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1355 S Higley Rd Ste 102, Higley, AZ 85236 Phone: 480-892-0022 Fax: 480-892-5509 | |
Dr. Patricia Lynn Pivonka, D.C. Chiropractor Medicare: Medicare Enrolled Practice Location: 1355 S. Higley Road Ste 102, Higley, AZ 85236 Phone: 480-892-0022 Fax: 480-892-5509 |