Dr Natalisse Wahlstrom-davila, MD - Medicare General Practice in Buckeye, AZ

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Dr Natalisse Wahlstrom-davila, MD is a medicare enrolled "General Practice" physician in Buckeye, Arizona. Her current practice location is 1500 S Watson Rd Ste C104, Buckeye, Arizona. You can reach out to her office (for appointments etc.) via phone at (623) 025-1755.

Dr Natalisse Wahlstrom-davila is licensed to practice in Arizona (license number 74447) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1366145591.

Contact Information

Dr Natalisse Wahlstrom-davila, MD
1500 S Watson Rd Ste C104,
Buckeye, AZ 85326-8689
(623) 025-1755
Not Available

Map and Direction




Physician's Profile

Full NameDr Natalisse Wahlstrom-davila
GenderFemale
SpecialityGeneral Practice
Location1500 S Watson Rd Ste C104, Buckeye, Arizona
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1366145591
  • Provider Enumeration Date: 03/27/2023
  • Last Update Date: 03/25/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 9032639596
  • Enrollment ID: I20250227000845

Medical Identifiers

Medical identifiers for Dr Natalisse Wahlstrom-davila such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366145591NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice 23143 (Puerto Rico)Secondary
208D00000XGeneral Practice 74447 (Arizona)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Natalisse Wahlstrom-davila allows following entities to bill medicare on her behalf.
Entity NameKhakwani And Mohammad Medical Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518672278
PECOS PAC ID: 8527412659
Enrollment ID: O20230923000296

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 Natalisse Wahlstrom-davila 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
Dr Natalisse Wahlstrom-davila, MD
1500 S Watson Rd Ste C104,
Buckeye, AZ 85326-8689

Ph: () -		Dr Natalisse Wahlstrom-davila, MD
1500 S Watson Rd Ste C104,
Buckeye, AZ 85326-8689

Ph: (623) 025-1755

Reviews and Comments


General Practice Doctors in Buckeye, AZ

Eduardo L Vinluan, MD
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Medicare: Not Enrolled in Medicare
Practice Location: 26700 S Us Highway 85, Buckeye, AZ 85326
Phone: 623-386-6160    
Dr. Scott Paul Conley, M.D.
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Medicare: Not Enrolled in Medicare
Practice Location: 3073 N 196th Ave, Buckeye, AZ 85396
Phone: 520-991-5910    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.