Desert Run Multispecialty Plc is a medicare enrolled "Internal Medicine - Interventional Cardiology" provider in Phoenix, Arizona. Their current practice location is
4350 N 19th Ave, Suite 3, Phoenix, Arizona. You can reach out to their office (for appointments etc.) via phone at
(602) 279-4975.
Desert Run Multispecialty Plc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Desert Run Multispecialty Plc
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 1386795771.
Healthcare Provider's Profile
| Full Name | Desert Run Multispecialty Plc |
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| Type | Facility |
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| Speciality | Internal Medicine - Interventional Cardiology |
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| Location | 4350 N 19th Ave, Phoenix, Arizona |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1386795771
- Provider Enumeration Date: 01/15/2007
- Last Update Date: 02/16/2024
Medicare PECOS Information:
- PECOS PAC ID: 1951384627
- Enrollment ID: O20040611001376
Medical Identifiers
Medical identifiers for Desert Run Multispecialty Plc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1386795771 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 213E00000X | Podiatrist | (* (Not Available)) | Secondary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |
| 207RI0011X | Internal Medicine - Interventional Cardiology | (* (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.
Desert Run Multispecialty Plc acts as a billing entity for following providers:
| Provider Name | Albert E Eulano |
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| Provider Type | Practitioner - Podiatry |
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| Provider Identifiers | NPI Number: 1578778213
PECOS PAC ID: 2769417682
Enrollment ID: I20050929000431 |
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| Provider Name | Nachiket J Patel |
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| Provider Type | Practitioner - Interventional Cardiology |
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| Provider Identifiers | NPI Number: 1528377090
PECOS PAC ID: 6002068830
Enrollment ID: I20181107002334 |
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| Provider Name | Matthew S Burrows |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1013480771
PECOS PAC ID: 3779822879
Enrollment ID: I20190307002225 |
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| Provider Name | Kelli K Ducray |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1306338736
PECOS PAC ID: 0143571026
Enrollment ID: I20191210002210 |
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| Provider Name | Assad Sattar |
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| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
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| Provider Identifiers | NPI Number: 1154554590
PECOS PAC ID: 4981916004
Enrollment ID: I20200803002281 |
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| Provider Name | Richard Daniels |
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| Provider Type | Practitioner - Interventional Radiology |
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| Provider Identifiers | NPI Number: 1417905043
PECOS PAC ID: 3577476837
Enrollment ID: I20241010000105 |
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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. Desert Run Multispecialty Plc 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 |
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Desert Run Multispecialty Plc
4350 N 19th Ave, Suite 3,
Phoenix, AZ 85015-4602
Ph: (602) 279-4975 | Desert Run Multispecialty Plc
4350 N 19th Ave, Suite 3,
Phoenix, AZ 85015-4602
Ph: (602) 279-4975 |
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