Wellness 1st Integrative Medical Center, Llc is a medicare enrolled "Clinic/center - Medical Specialty" provider in Gilbert, Arizona. Their current practice location is
2451 E Baseline Rd Ste 100, Gilbert, Arizona. You can reach out to their office (for appointments etc.) via phone at
(480) 304-5152.
Wellness 1st Integrative Medical Center, Llc is licensed to practice in Arizona (license number RN06371) and it also participates in the medicare program. Wellness 1st Integrative Medical 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 1053825364.
Healthcare Provider's Profile
| Full Name | Wellness 1st Integrative Medical Center, Llc |
|---|
| Type | Facility |
|---|
| Speciality | Clinic/center - Medical Specialty |
|---|
| Location | 2451 E Baseline Rd Ste 100, Gilbert, Arizona |
|---|
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1053825364
- Provider Enumeration Date: 11/22/2017
- Last Update Date: 04/20/2021
Medicare PECOS Information:
- PECOS PAC ID: 1850634551
- Enrollment ID: O20190521001875
Medical Identifiers
Medical identifiers for Wellness 1st Integrative Medical Center, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1053825364 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Secondary |
| 261QH0100X | Clinic/center - Health Service | (* (Not Available)) | Secondary |
| 261QM2500X | Clinic/center - Medical Specialty | RN06371 (Arizona) | Primary |
| 261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Secondary |
| 261QP3300X | Clinic/center - Pain | (* (Not Available)) | Secondary |
| 332BD1200X | Durable Medical Equipment & Medical Supplies - Dialysis Equipment & 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.
Wellness 1st Integrative Medical Center, Llc acts as a billing entity for following providers:
| Provider Name | Mark C Carter |
|---|
| Provider Type | Practitioner - Internal Medicine |
|---|
| Provider Identifiers | NPI Number: 1760456032
PECOS PAC ID: 1557317898
Enrollment ID: I20050329001327 |
|---|
| Provider Name | Regina Monaco |
|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
|---|
| Provider Identifiers | NPI Number: 1093049660
PECOS PAC ID: 2769529783
Enrollment ID: I20091023000560 |
|---|
| Provider Name | Annette V Lopez |
|---|
| Provider Type | Practitioner - Nurse Practitioner |
|---|
| Provider Identifiers | NPI Number: 1316388648
PECOS PAC ID: 0840516779
Enrollment ID: I20150311001758 |
|---|
| Provider Name | Mike Mcgrath |
|---|
| Provider Type | Practitioner - Orthopedic Surgery |
|---|
| Provider Identifiers | NPI Number: 1811193519
PECOS PAC ID: 2769607407
Enrollment ID: I20150818003751 |
|---|
| Provider Name | Katy A Mills |
|---|
| Provider Type | Practitioner - Nurse Practitioner |
|---|
| Provider Identifiers | NPI Number: 1871146704
PECOS PAC ID: 6800220070
Enrollment ID: I20191220000962 |
|---|
| Provider Name | Matthew R Fletcher |
|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
|---|
| Provider Identifiers | NPI Number: 1487296042
PECOS PAC ID: 3274967104
Enrollment ID: I20191230002193 |
|---|
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. Wellness 1st Integrative Medical 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 |
|---|
Wellness 1st Integrative Medical Center, Llc
2451 E Baseline Rd Ste 100,
Gilbert, AZ 85234-2467
Ph: (480) 304-5152 | Wellness 1st Integrative Medical Center, Llc
2451 E Baseline Rd Ste 100,
Gilbert, AZ 85234
Ph: (480) 304-5152 |
Reviews and Comments