| Dr Kelli Raynell Favata, MD | |
|
3530 S Val Vista Dr Ste B210, Gilbert, AZ 85297-7318 | |
| (800) 991-6117 | |
| Not Available |
| Full Name | Dr Kelli Raynell Favata |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Experience | 18 Years |
| Location | 3530 S Val Vista Dr Ste B210, Gilbert, Arizona |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184822348 | NPI | - | NPPES |
| 654974 | Medicaid | AZ |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Arizona Uvc Medical Pllc | 3375973647 | 7 |
| Entity Name | Michael F Esber Dpm Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902907504 PECOS PAC ID: 7810905759 Enrollment ID: O20060404000112 |
| Entity Name | Advanced Minimally Invasive Surgical |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295056919 PECOS PAC ID: 4183758527 Enrollment ID: O20100819001272 |
| Entity Name | Maria Gonzalez Berlari Md Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699025981 PECOS PAC ID: 2769625854 Enrollment ID: O20130820001092 |
| Entity Name | Hope Diabetes Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104865757 PECOS PAC ID: 4183620487 Enrollment ID: O20170719003937 |
| Entity Name | Center For Vein Restoration Az Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215411970 PECOS PAC ID: 4688927973 Enrollment ID: O20181102002643 |
| Entity Name | Pulse Cardiovascular Institute Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730675547 PECOS PAC ID: 4587903364 Enrollment ID: O20190222002363 |
| Entity Name | Pulse Cardiovascular Interventions Llc |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1821584632 PECOS PAC ID: 2466792114 Enrollment ID: O20190318000447 |
| Entity Name | Arizona Uvc Medical Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548800980 PECOS PAC ID: 3375973647 Enrollment ID: O20200429000833 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kelli Raynell Favata, MD 3820 Northdale Blvd Ste 201, Tampa, FL 33624-1893 Ph: (800) 911-6117 | Dr Kelli Raynell Favata, MD 3530 S Val Vista Dr Ste B210, Gilbert, AZ 85297-7318 Ph: (800) 991-6117 |