Julie Ann Ty Mavez, is a
Student In An Organized Health Care Education/training Program based in Phoenix, Arizona. Julie Ann Ty Mavez is licensed to practice in Arizona (license number ) and current practice location is
188 E Jefferson St Apt 507, Phoenix, Arizona. can be reached at office (for appointments etc.) via phone at
(619) 761-4845.
NPI number for Julie Ann Ty Mavez is 1952253759 and current mailing address is 188 E Jefferson St Apt 507, Phoenix, Arizona.
does not participate in medicare program and thus does not accept medicare assignments. NPI Number is 1952253759.
Provider's Profile
| Full Name | Julie Ann Ty Mavez |
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| Gender | |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 188 E Jefferson St Apt 507, Phoenix, Arizona |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1952253759
- Provider Enumeration Date: 02/12/2026
- Last Update Date: 02/12/2026
Medical Identifiers
Medical identifiers for Julie Ann Ty Mavez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1952253759 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | (Arizona) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (Arizona) | Primary |
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. Julie Ann Ty Mavez is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Julie Ann Ty Mavez,
188 E Jefferson St Apt 507,
Phoenix, AZ 85004-2896
Ph: () - | Julie Ann Ty Mavez,
188 E Jefferson St Apt 507,
Phoenix, AZ 85004-2896
Ph: (619) 761-4845 |
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