Restore Vascular Pllc - Medicare in Queen Creek, AZ

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Restore Vascular Pllc is a medicare enrolled "Phlebology" provider in Queen Creek, Arizona. Their current practice location is 18510 E San Tan Blvd Ste 115, Queen Creek, Arizona. You can reach out to their office (for appointments etc.) via phone at (480) 442-3990.

Restore Vascular Pllc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Restore Vascular 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 1396452611.

Contact Information

Restore Vascular Pllc
18510 E San Tan Blvd Ste 115,
Queen Creek, AZ 85142-2206
(480) 442-3990
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameRestore Vascular Pllc
TypeFacility
SpecialityPhlebology
Location18510 E San Tan Blvd Ste 115, Queen Creek, Arizona
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1396452611
  • Provider Enumeration Date: 11/07/2022
  • Last Update Date: 08/29/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 3870963325
  • Enrollment ID: O20221228001408

Medical Identifiers

Medical identifiers for Restore Vascular Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396452611NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
111N00000XChiropractor (* (Not Available))Secondary
202K00000XPhlebology (* (Not Available))Primary
208100000XPhysical Medicine & Rehabilitation (* (Not Available))Secondary
261QM1300XClinic/center - Multi-specialty (* (Not Available))Secondary
332B00000XDurable Medical Equipment & Medical Supplies (* (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. Restore Vascular Pllc acts as a billing entity for following providers:
Provider NameEdward A Smith
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1821278896
PECOS PAC ID: 7911130877
Enrollment ID: I20140429001764
Provider NameNathan Weller
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1922302090
PECOS PAC ID: 3678822582
Enrollment ID: I20180824002076
Provider NameRobin L Crilly
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1679627491
PECOS PAC ID: 1850319807
Enrollment ID: I20190920001280
Provider NameClaudia Macias
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1508496167
PECOS PAC ID: 3577992916
Enrollment ID: I20200406001272
Provider NameMatthew Derrick Miller
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1053926410
PECOS PAC ID: 8820404924
Enrollment ID: I20210316001725
Provider NameJeremy D Taylor
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1801580782
PECOS PAC ID: 3971963927
Enrollment ID: I20230721002166
Provider NameBeatriz Dray
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1689364838
PECOS PAC ID: 9032563127
Enrollment ID: I20230922002196
Provider NamePaige Ellsworth
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1639987555
PECOS PAC ID: 3274050349
Enrollment ID: I20250516001366

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. Restore Vascular 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 AddressPractice Location Address
Restore Vascular Pllc
18510 E San Tan Blvd Ste 115,
Queen Creek, AZ 85142-2206

Ph: (480) 442-3990		Restore Vascular Pllc
18510 E San Tan Blvd Ste 115,
Queen Creek, AZ 85142-2206

Ph: (480) 442-3990

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.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.