East Valley Medical Llc is a
Physician Assistant - Medical based in Gilbert, Arizona. East Valley Medical Llc is licensed to practice in * (Not Available) (license number ) and their current practice location is
754 S Val Vista Dr Ste 105, Gilbert, Arizona. It can be reached at their office (for appointments etc.) via phone at
(480) 497-2900.
NPI number for East Valley Medical Llc is 1073309571 and their current mailing address is 754 S Val Vista Dr Ste 105, Gilbert, Arizona. East Valley Medical Llc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1073309571.
Healthcare Provider's Profile
| Full Name | East Valley Medical Llc |
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| Type | Facility |
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| Speciality | Physician Assistant - Medical |
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| Location | 754 S Val Vista Dr Ste 105, Gilbert, Arizona |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1073309571
- Provider Enumeration Date: 04/19/2025
- Last Update Date: 04/21/2025
Medical Identifiers
Medical identifiers for East Valley Medical Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1073309571 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | (* (Not Available)) | Secondary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
| 363AM0700X | Physician Assistant - Medical | (* (Not Available)) | Primary |
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. East Valley Medical Llc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
East Valley Medical Llc
754 S Val Vista Dr Ste 105,
Gilbert, AZ 85296-3139
Ph: () - | East Valley Medical Llc
754 S Val Vista Dr Ste 105,
Gilbert, AZ 85296-3139
Ph: (480) 497-2900 |
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