Elizabeth Kathleen Fox-mtandika, - Medicare Family Practice in San Tan Valley, AZ

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Elizabeth Kathleen Fox-mtandika, is a medicare enrolled "Family Medicine" physician in San Tan Valley, Arizona. She went to College Of Osteo Med Of The Pacific At Pomona and graduated in 2019 and has 6 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Bhsm Rehabilitation Llc, Banner Primary Care Physicians Arizona Llc and her current practice location is 37100 N Gantzel Rd Ste 201, San Tan Valley, Arizona. You can reach out to her office (for appointments etc.) via phone at (480) 394-4469.

Elizabeth Kathleen Fox-mtandika is licensed to practice in Arizona (license number 009452) 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 1205397288.

Contact Information

Elizabeth Kathleen Fox-mtandika,
37100 N Gantzel Rd Ste 201,
San Tan Valley, AZ 85140-7352
(480) 394-4469
Not Available

Map and Direction




Physician's Profile

Full NameElizabeth Kathleen Fox-mtandika
GenderFemale
SpecialityFamily Practice
Experience6 Years
Location37100 N Gantzel Rd Ste 201, San Tan Valley, Arizona
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Elizabeth Kathleen Fox-mtandika attended and graduated from College Of Osteo Med Of The Pacific At Pomona in 2019
  NPI Data:
  • NPI Number: 1205397288
  • Provider Enumeration Date: 03/30/2019
  • Last Update Date: 02/20/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 8527445030
  • Enrollment ID: I20220520001955

Medical Identifiers

Medical identifiers for Elizabeth Kathleen Fox-mtandika such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205397288NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 009452 (Arizona)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Banner Gateway Medical CenterGilbert, AZHospital
Banner Ironwood Medical CenterQueen creek, AZHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Bhsm Rehabilitation Llc20627731381575
Banner Primary Care Physicians Arizona Llc6406020155209

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. Elizabeth Kathleen Fox-mtandika allows following entities to bill medicare on her behalf.
Entity NameBanner Primary Care Physicians Arizona Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417238908
PECOS PAC ID: 6406020155
Enrollment ID: O20111115000898

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. Elizabeth Kathleen Fox-mtandika 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
Elizabeth Kathleen Fox-mtandika,
4760 E Baseline Rd Apt 2025,
Mesa, AZ 85206-4688

Ph: (602) 359-7866		Elizabeth Kathleen Fox-mtandika,
37100 N Gantzel Rd Ste 201,
San Tan Valley, AZ 85140-7352

Ph: (480) 394-4469

Reviews and Comments


Family Medicine Doctors in San Tan Valley, AZ

Dr. Monte L Jones, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 287 E Hunt Hwy, Ste 105, San Tan Valley, AZ 85143
Phone: 480-677-8282    Fax: 480-677-8283
Matthew Cook, DO
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 37100 N Gantzel Rd Ste 201, San Tan Valley, AZ 85140
Phone: 480-394-4469    Fax: 480-394-4520
Wendy Song, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2474 E Hunt Hwy, Suite 10, San Tan Valley, AZ 85143
Phone: 480-543-6680    Fax: 480-543-5908
Payam Zamani, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 287 E Hunt Hwy, Suite #105, San Tan Valley, AZ 85143
Phone: 480-677-8282    Fax: 480-535-0962
Edgar Arthur Suter, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 287 E Hunt Hwy, Suite 105, San Tan Valley, AZ 85143
Phone: 480-677-8282    Fax: 480-677-8283
Brian Cafaro, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 287 E Hunt Hwy, Suite 105, San Tan Valley, AZ 85143
Phone: 480-455-7444    

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.