Dr Kelli Raynell Favata, MD is a medicare enrolled "Specialist/technologist Cardiovascular - Vascular Specialist" physician in Gilbert, Arizona. Her current practice location is
3420 S Mercy Rd Ste 211, Gilbert, Arizona. You can reach out to her office (for appointments etc.) via phone at
(866) 974-2673.
Dr Kelli Raynell Favata is licensed to practice in Arizona (license number 45344) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1184822348.
Physician's Profile
Full Name | Dr Kelli Raynell Favata |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 3420 S Mercy Rd Ste 211, Gilbert, Arizona |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Kelli Raynell Favata attended and graduated from in
NPI Data:
- NPI Number: 1184822348
- Provider Enumeration Date: 07/10/2007
- Last Update Date: 09/30/2022
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Kelli Raynell Favata such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1184822348 | NPI | - | NPPES |
654974 | Medicaid | AZ | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | 45344 (Arizona) | Secondary |
246XC2903X | Specialist/technologist Cardiovascular - Vascular Specialist | 45344 (Arizona) | Primary |
207R00000X | Internal Medicine | 30177 (South Carolina) | Secondary |
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. Dr Kelli Raynell Favata 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 |
Dr Kelli Raynell Favata, MD 18444 N 25th Ave Ste 310, Phoenix, AZ 85023-1266 Ph: (866) 974-2673 | Dr Kelli Raynell Favata, MD 3420 S Mercy Rd Ste 211, Gilbert, AZ 85297-0424 Ph: (866) 974-2673 |
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