Wv Medical Group Llc is a medicare enrolled "General Practice" provider in Goodyear, Arizona. Their current practice location is
3301 N Litchfield Rd Ste 200, Goodyear, Arizona. You can reach out to their office (for appointments etc.) via phone at
(623) 935-2929.
Wv Medical Group Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Wv Medical 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 1962059279.
Healthcare Provider's Profile
| Full Name | Wv Medical Group Llc |
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| Type | Facility |
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| Speciality | General Practice |
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| Location | 3301 N Litchfield Rd Ste 200, Goodyear, 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: 1962059279
- Provider Enumeration Date: 08/21/2019
- Last Update Date: 10/16/2023
Medicare PECOS Information:
- PECOS PAC ID: 9032440235
- Enrollment ID: O20191018000469
Medical Identifiers
Medical identifiers for Wv Medical Group Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1962059279 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | (* (Not Available)) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | (* (Not Available)) | Secondary |
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 363A00000X | Physician Assistant | (* (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.
Wv Medical Group Llc acts as a billing entity for following providers:
| Provider Name | Sonja Gerard |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1366719965
PECOS PAC ID: 0941460018
Enrollment ID: I20120327000757 |
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| Provider Name | Walter Damper |
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| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
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| Provider Identifiers | NPI Number: 1639309180
PECOS PAC ID: 5496995854
Enrollment ID: I20130708000309 |
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| Provider Name | Jennifer A Davis |
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| Provider Type | Practitioner - Physician Assistant |
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| Provider Identifiers | NPI Number: 1184355885
PECOS PAC ID: 0244614998
Enrollment ID: I20220830003551 |
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| Provider Name | Brandon Smith |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1720969660
PECOS PAC ID: 8325545494
Enrollment ID: I20251007001893 |
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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. Wv Medical 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 Address | Practice Location Address |
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Wv Medical Group Llc
Po Box 6610,
Chandler, AZ 85246-6610
Ph: (480) 926-7800 | Wv Medical Group Llc
3301 N Litchfield Rd Ste 200,
Goodyear, AZ 85395-3197
Ph: (623) 935-2929 |
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