Integrated Premier Group Specialty, Llc is a
Internal Medicine based in Tempe, Arizona. Integrated Premier Group Specialty, Llc is licensed to practice in * (Not Available) (license number ) and their current practice location is
2075 S Cottonwood Dr, Tempe, Arizona. It can be reached at their office (for appointments etc.) via phone at
(480) 718-0568.
NPI number for Integrated Premier Group Specialty, Llc is 1770961914 and their current mailing address is 2075 S Cottonwood Dr, Tempe, Arizona. Integrated Premier Group Specialty, Llc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1770961914.
Healthcare Provider's Profile
| Full Name | Integrated Premier Group Specialty, Llc |
|---|
| Type | Facility |
|---|
| Speciality | Internal Medicine |
|---|
| Location | 2075 S Cottonwood Dr, Tempe, Arizona |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1770961914
- Provider Enumeration Date: 05/07/2015
- Last Update Date: 03/19/2020
Medical Identifiers
Medical identifiers for Integrated Premier Group Specialty, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1770961914 | NPI | - | NPPES |
| 208912 | Medicaid | AZ | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 213E00000X | Podiatrist | (* (Not Available)) | Secondary |
| 208600000X | Surgery | (* (Not Available)) | Secondary |
| 103T00000X | Psychologist | 18871 (Arizona) | Secondary |
| 103TF0000X | Psychologist - Family | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | (* (Not Available)) | Secondary |
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal 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. Integrated Premier Group Specialty, 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 |
|---|
Integrated Premier Group Specialty, Llc
2075 S Cottonwood Dr,
Tempe, AZ 85282-3040
Ph: (480) 718-0568 | Integrated Premier Group Specialty, Llc
2075 S Cottonwood Dr,
Tempe, AZ 85282-3040
Ph: (480) 718-0568 |
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