Kearny Life Center, Llc is a medicare enrolled "Chiropractor - Rehabilitation" provider in Kearny, Arizona. Their current practice location is
384 Alden Rd., Kearny, Arizona. You can reach out to their office (for appointments etc.) via phone at
(520) 363-7734.
Kearny Life Center, Llc is licensed to practice in Arizona (license number 5499, 5517) and it also participates in the medicare program. Kearny Life Center, 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 1396945531.
Healthcare Provider's Profile
| Full Name | Kearny Life Center, Llc |
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| Type | Facility |
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| Speciality | Chiropractor - Rehabilitation |
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| Location | 384 Alden Rd., Kearny, 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: 1396945531
- Provider Enumeration Date: 07/24/2007
- Last Update Date: 08/19/2008
Medicare PECOS Information:
- PECOS PAC ID: 7416930185
- Enrollment ID: O20040611001436
Medical Identifiers
Medical identifiers for Kearny Life Center, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1396945531 | NPI | - | NPPES |
| AZ 0935250 | Other | AZ | BLUE CROSS BLUE SHIELD |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111NR0400X | Chiropractor - Rehabilitation | 5499, 5517 (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.
Kearny Life Center, Llc acts as a billing entity for following providers:
| Provider Name | Glenn K Azzari |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1245390061
PECOS PAC ID: 6901863158
Enrollment ID: I20041220000370 |
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| Provider Name | Victor J Khoury |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1972716132
PECOS PAC ID: 0446279624
Enrollment ID: I20051116000913 |
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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. Kearny Life Center, 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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Kearny Life Center, Llc
Po Box 1149,
Kearny, AZ 85237-1149
Ph: (520) 363-7734 | Kearny Life Center, Llc
384 Alden Rd.,
Kearny, AZ 85237
Ph: (520) 363-7734 |
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