East Valley Physicians Group Pllc is a medicare enrolled "Physical Medicine & Rehabilitation" provider in Mesa, Arizona. Their current practice location is
2044 N Recker Rd, Mesa, Arizona. You can reach out to their office (for appointments etc.) via phone at
(480) 924-7632.
East Valley Physicians Group Pllc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. East Valley Physicians 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 1528310968.
Healthcare Provider's Profile
| Full Name | East Valley Physicians Group Pllc |
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| Type | Facility |
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| Speciality | Physical Medicine & Rehabilitation |
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| Location | 2044 N Recker Rd, Mesa, 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: 1528310968
- Provider Enumeration Date: 10/09/2012
- Last Update Date: 12/05/2015
Medicare PECOS Information:
- PECOS PAC ID: 8820242845
- Enrollment ID: O20130129000058
Medical Identifiers
Medical identifiers for East Valley Physicians Group Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1528310968 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | (* (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.
East Valley Physicians Group Pllc acts as a billing entity for following providers:
| Provider Name | David F Rusick |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1467529156
PECOS PAC ID: 7719958156
Enrollment ID: I20040802000350 |
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| Provider Name | Nicole Anne Thompson |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1700069192
PECOS PAC ID: 7810071198
Enrollment ID: I20080226000084 |
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| Provider Name | Daniel Bishop |
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| Provider Type | Practitioner - Emergency Medicine |
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| Provider Identifiers | NPI Number: 1669522587
PECOS PAC ID: 2466514401
Enrollment ID: I20090626000140 |
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| Provider Name | David C Ketchum |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1467458067
PECOS PAC ID: 6204724552
Enrollment ID: I20091006000395 |
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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. East Valley Physicians 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 Address | Practice Location Address |
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East Valley Physicians Group Pllc
305 N 4th St,
Buckeye, AZ 85326-2405
Ph: (623) 393-8767 | East Valley Physicians Group Pllc
2044 N Recker Rd,
Mesa, AZ 85215-2744
Ph: (480) 924-7632 |
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