| Modern Sports Medicine Llc | |
|
5590 W Chandler Blvd Ste 4 Chandler AZ 85226-3744 | |
| (480) 306-6627 | |
| (480) 306-6696 |
| Full Name | Modern Sports Medicine Llc |
|---|---|
| Speciality | Physical Medicine & Rehabilitation |
| Location | 5590 W Chandler Blvd Ste 4, Chandler, Arizona |
| Authorized Official Name and Position | Susan Fruchtman (VP OF RCM AND CREDENTIALING) |
| Authorized Official Contact | 4808636269 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Modern Sports Medicine Llc 5590 W Chandler Blvd Ste 4 Chandler AZ 85226-3744 Ph: () - | Modern Sports Medicine Llc 5590 W Chandler Blvd Ste 4 Chandler AZ 85226-3744 Ph: (480) 306-6627 |
| NPI Number | 1912683699 |
|---|---|
| Provider Enumeration Date | 06/26/2023 |
| Last Update Date | 06/26/2023 |
| Medicare PECOS PAC ID | 6800228479 |
|---|---|
| Medicare Enrollment ID | O20230816002534 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912683699 | NPI | - | NPPES |
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