Bista is a
Local Education Agency (lea) based in Phoenix, Arizona. Bista is licensed to practice in * (Not Available) (license number ) and their current practice location is
10251 N. 35th Ave, Phoenix, Arizona. It can be reached at their office (for appointments etc.) via phone at
(602) 926-7210.
NPI number for Bista is 1164596284 and their current mailing address is 10251 N. 35th Ave, Phoenix, Arizona. Bista
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1164596284.
Healthcare Provider's Profile
| Full Name | Bista |
|---|
| Type | Facility |
|---|
| Speciality | Local Education Agency (lea) |
|---|
| Location | 10251 N. 35th Ave, Phoenix, Arizona |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1164596284
- Provider Enumeration Date: 11/20/2006
- Last Update Date: 10/11/2022
Medical Identifiers
Medical identifiers for Bista such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1164596284 | NPI | - | NPPES |
| 412094 | Medicaid | AZ | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 225XP0200X | Occupational Therapist - Pediatrics | (* (Not Available)) | Secondary |
| 235Z00000X | Speech-language Pathologist | 6265 (Arizona) | Secondary |
| 103K00000X | Behavior Analyst | BA11 (Arizona) | Secondary |
| 251300000X | Local Education Agency (lea) | (* (Not Available)) | 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. Bista 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 |
|---|
Bista
10251 N. 35th Ave,
Phoenix, AZ 85051
Ph: (602) 926-7210 | Bista
10251 N. 35th Ave,
Phoenix, AZ 85051
Ph: (602) 926-7210 |
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