Modern Sports Medicine Llc is a
Physical Medicine & Rehabilitation - Sports Medicine based in Tempe, Arizona. Modern Sports Medicine Llc is licensed to practice in * (Not Available) (license number ) and their current practice location is
1840 E Warner Rd Ste 121, Tempe, Arizona. It can be reached at their office (for appointments etc.) via phone at
(480) 878-4806.
NPI number for Modern Sports Medicine Llc is 1568072387 and their current mailing address is 1840 E Warner Rd Ste 121, Tempe, Arizona. Modern Sports Medicine Llc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1568072387.
Healthcare Provider's Profile
| Full Name | Modern Sports Medicine Llc |
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| Type | Facility |
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| Speciality | Physical Medicine & Rehabilitation - Sports Medicine |
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| Location | 1840 E Warner Rd Ste 121, Tempe, Arizona |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1568072387
- Provider Enumeration Date: 08/06/2020
- Last Update Date: 09/26/2024
Medical Identifiers
Medical identifiers for Modern Sports Medicine Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1568072387 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 2251S0007X | Physical Therapist - Sports | (* (Not Available)) | Secondary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |
| 363AM0700X | Physician Assistant - Medical | (* (Not Available)) | Secondary |
| 2081S0010X | Physical Medicine & Rehabilitation - Sports Medicine | (* (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. Modern Sports Medicine Llc 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 |
|---|
Modern Sports Medicine Llc
1840 E Warner Rd Ste 121,
Tempe, AZ 85284-3445
Ph: (480) 878-4806 | Modern Sports Medicine Llc
1840 E Warner Rd Ste 121,
Tempe, AZ 85284-3445
Ph: (480) 878-4806 |
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