Sedona Integrative Medical Clinic, Llc is a medicare enrolled "Family Medicine" provider in Cottonwood, Arizona. Their current practice location is
450 S Willard St Ste 101, Cottonwood, Arizona. You can reach out to their office (for appointments etc.) via phone at
(928) 284-0166.
Sedona Integrative Medical Clinic, Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Sedona Integrative Medical Clinic, Llc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1932349867.
Healthcare Provider's Profile
Full Name | Sedona Integrative Medical Clinic, Llc |
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Type | Facility |
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Speciality | Family Medicine |
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Location | 450 S Willard St Ste 101, Cottonwood, Arizona |
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Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1932349867
- Provider Enumeration Date: 03/05/2009
- Last Update Date: 07/18/2022
Medicare PECOS Information:
- PECOS PAC ID: 4486704913
- Enrollment ID: O20090604000113
Medical Identifiers
Medical identifiers for Sedona Integrative Medical Clinic, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1932349867 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | 5669 (Arizona) | Secondary |
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Sedona Integrative Medical Clinic, Llc acts as a billing entity for following providers:
Provider Name | Eric A Haggard |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
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Provider Identifiers | NPI Number: 1568507358 PECOS PAC ID: 2264582709 Enrollment ID: I20090604000390 |
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Provider Name | Mary Derose |
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Provider Type | Practitioner - Chiropractic |
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Provider Identifiers | NPI Number: 1407991276 PECOS PAC ID: 6608034582 Enrollment ID: I20120223000325 |
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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. Sedona Integrative Medical Clinic, Llc 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 |
Sedona Integrative Medical Clinic, Llc 450 S Willard St Ste 101, Cottonwood, AZ 86326-6744 Ph: (928) 284-0166 | Sedona Integrative Medical Clinic, Llc 450 S Willard St Ste 101, Cottonwood, AZ 86326-6744 Ph: (928) 284-0166 |
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