John M Altic, PA-C is a medicare enrolled "Emergency Medicine" in Gilbert, Arizona. He graduated from nursing school in 2001 and has 25 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Maricopa Physicians Pllc and his current practice location is
888 S Greenfield Rd #101, Gilbert, Arizona. You can reach out to his office (for appointments etc.) via phone at
(480) 892-1300.
John M Altic is licensed to practice in Arizona (license number 2502) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1124055637.
Provider's Profile
| Full Name | John M Altic |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 25 Years |
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| Location | 888 S Greenfield Rd #101, Gilbert, Arizona |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- John M Altic graduated from nursing school in 2001
NPI Data:
- NPI Number: 1124055637
- Provider Enumeration Date: 06/28/2006
- Last Update Date: 01/11/2011
Medicare PECOS Information:
- PECOS PAC ID: 0941399141
- Enrollment ID: I20071210000664
Medical Identifiers
Medical identifiers for John M Altic such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1124055637 | NPI | - | NPPES |
| 726713 | Medicaid | AZ | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363AM0700X | Physician Assistant - Medical | 2502 (Arizona) | Secondary |
| 207P00000X | Emergency Medicine | 2502 (Arizona) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Maricopa Physicians Pllc | 7315271079 | 2 |
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. John M Altic allows following entities to bill medicare on his behalf.
| Entity Name | Scottsdale Physicians Group PLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1689799579
PECOS PAC ID: 8325099385
Enrollment ID: O20050207000876 |
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| Entity Name | Maricopa Physicians PLLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1124599816
PECOS PAC ID: 7315271079
Enrollment ID: O20190628002611 |
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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. John M Altic 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 |
|---|
John M Altic, PA-C
888 S Greenfield Rd #101,
Gilbert, AZ 85296-4012
Ph: (480) 892-1300 | John M Altic, PA-C
888 S Greenfield Rd #101,
Gilbert, AZ 85296-4012
Ph: (480) 892-1300 |
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