Western Med Group Llc - Medicare in Anthem, AZ

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Western Med Group Llc is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" provider in Anthem, Arizona. Their current practice location is 3624 W Anthem Way Ste C108, Anthem, Arizona. You can reach out to their office (for appointments etc.) via phone at (602) 441-3573.

Western Med Group Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Western Med Group 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 1043989726.

Contact Information

Western Med Group Llc
3624 W Anthem Way Ste C108,
Anthem, AZ 85086-0457
(602) 441-3573
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameWestern Med Group Llc
TypeFacility
SpecialityPain Medicine - Interventional Pain Medicine
Location3624 W Anthem Way Ste C108, Anthem, Arizona
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1043989726
  • Provider Enumeration Date: 09/07/2021
  • Last Update Date: 02/24/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 6204223878
  • Enrollment ID: O20220428002333

Medical Identifiers

Medical identifiers for Western Med Group Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043989726NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
111N00000XChiropractor (* (Not Available))Secondary
208100000XPhysical Medicine & Rehabilitation (* (Not Available))Secondary
208VP0014XPain Medicine - Interventional Pain Medicine (* (Not Available))Primary
332B00000XDurable Medical Equipment & Medical Supplies (* (Not Available))Secondary
363L00000XNurse Practitioner (* (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. Western Med Group Llc acts as a billing entity for following providers:
Provider NameMichael R Voisin
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1619059128
PECOS PAC ID: 7416932678
Enrollment ID: I20040622000404
Provider NameEric J Church
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1366419269
PECOS PAC ID: 2567440126
Enrollment ID: I20040709001125
Provider NameTerry L Eldridge
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1932164159
PECOS PAC ID: 3274594783
Enrollment ID: I20041020000640
Provider NamePatrick J Domanico
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1710966767
PECOS PAC ID: 3577581768
Enrollment ID: I20051107000130
Provider NameThomas M Moshiri
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1487628442
PECOS PAC ID: 2466471834
Enrollment ID: I20060731000134
Provider NameRyan D Schulze
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1902968639
PECOS PAC ID: 4183729684
Enrollment ID: I20070411000332
Provider NameTory L Mcjunkin
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1093850323
PECOS PAC ID: 4385730597
Enrollment ID: I20071019000133
Provider NameTyler G Church
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1487837159
PECOS PAC ID: 9739252503
Enrollment ID: I20080728000124
Provider NameJason R Jensen
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1871715367
PECOS PAC ID: 5799839205
Enrollment ID: I20100925000373
Provider NameMichael Vincent Healey
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1861471005
PECOS PAC ID: 4385808740
Enrollment ID: I20120618000107
Provider NameAlicia L Myers
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1205124369
PECOS PAC ID: 6204092729
Enrollment ID: I20120726000634
Provider NameJennifer Jacobs
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1609289743
PECOS PAC ID: 7113142241
Enrollment ID: I20140704000007
Provider NameBrandon G Kulp
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1912322520
PECOS PAC ID: 5890011316
Enrollment ID: I20150227001370
Provider NameMatthew D Warman
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1114309648
PECOS PAC ID: 6103136502
Enrollment ID: I20151116001656
Provider NameWarren Malcolm Sloan
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1053537902
PECOS PAC ID: 3274719786
Enrollment ID: I20160629001820
Provider NameKory G Thurman
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1972052074
PECOS PAC ID: 1557640257
Enrollment ID: I20161121002469
Provider NameTara K Mahoney
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1962860999
PECOS PAC ID: 5092007740
Enrollment ID: I20161208002033
Provider NameGrady Swick
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1720530652
PECOS PAC ID: 0446524003
Enrollment ID: I20170920001095
Provider NameAlyssa M Bauman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1851893721
PECOS PAC ID: 8224389184
Enrollment ID: I20180917001478
Provider NameAshley Marie Warner
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1639643612
PECOS PAC ID: 9133468879
Enrollment ID: I20190225001937
Provider NameAdrienne L Cross
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1952932568
PECOS PAC ID: 4284062860
Enrollment ID: I20200313000124
Provider NameAldijana Bjelobrkovic
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1003431974
PECOS PAC ID: 4385067677
Enrollment ID: I20200703000055
Provider NamePaul G Morris
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1346866886
PECOS PAC ID: 1557781051
Enrollment ID: I20201022002171
Provider NameTravis W Jewett
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1093996761
PECOS PAC ID: 2062501406
Enrollment ID: I20210812003691
Provider NameAmanda M Callahan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1770196271
PECOS PAC ID: 4789089343
Enrollment ID: I20210819000860
Provider NameCaitlyn Wells
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1508482191
PECOS PAC ID: 8224433792
Enrollment ID: I20210820002160
Provider NameEmily L Wuertemberger
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1184038382
PECOS PAC ID: 1557589660
Enrollment ID: I20220519000001

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. Western Med Group 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 AddressPractice Location Address
Western Med Group Llc
21001 N Tatum Blvd Ste 1630-606,
Phoenix, AZ 85050-4242

Ph: (602) 354-5310		Western Med Group Llc
3624 W Anthem Way Ste C108,
Anthem, AZ 85086-0457

Ph: (602) 441-3573

Reviews and Comments



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