Modern Vascular Of Mesa, Llc - Medicare Primary Care in Mesa, AZ

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Modern Vascular Of Mesa, Llc is a medicare enrolled primary clinic (Radiology - Vascular & Interventional Radiology) in Mesa, Arizona. The current practice location for Modern Vascular Of Mesa, Llc is 535 E Mckellips Rd Ste 111, Mesa, Arizona. For appointments, you can reach them via phone at (480) 223-1333. The mailing address for Modern Vascular Of Mesa, Llc is 26500 Agoura Rd Ste 102-587, Calabasas, California and phone number is (818) 880-8605.

Modern Vascular Of Mesa, Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1427583087. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (480) 223-1333.

Contact Information

Modern Vascular Of Mesa, Llc
535 E Mckellips Rd Ste 111
Mesa
AZ 85203
(480) 223-1333
Not Available

Map and Direction


Primary Care Clinic Profile

Full NameModern Vascular Of Mesa, Llc
SpecialityRadiology
Location535 E Mckellips Rd Ste 111, Mesa, Arizona
Authorized Official Name and PositionTim Murphy (VP OPERATIONS)
Authorized Official Contact8188808605
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Modern Vascular Of Mesa, Llc
26500 Agoura Rd Ste 102-587
Calabasas
CA 91302-1952

Ph: (818) 880-8605		Modern Vascular Of Mesa, Llc
535 E Mckellips Rd Ste 111
Mesa
AZ 85203

Ph: (480) 223-1333

NPI Details:

NPI Number1427583087
Provider Enumeration Date04/20/2017
Last Update Date07/11/2018

Medicare PECOS Information:

Medicare PECOS PAC ID0446537948
Medicare Enrollment IDO20170511000409

Medical Identifiers

Medical identifiers for Modern Vascular Of Mesa, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1427583087NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Secondary
207RC0000XInternal Medicine - Cardiovascular Disease (* (Not Available))Secondary
207RI0011XInternal Medicine - Interventional Cardiology (* (Not Available))Secondary
2085R0204XRadiology - Vascular & Interventional Radiology (* (Not Available))Primary
213E00000XPodiatrist (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Modern Vascular Of Mesa, Llc acts as a billing entity for following providers:
Provider NameMarc L Eckhauser
Provider TypePractitioner - Vascular Surgery
Provider IdentifiersNPI Number: 1811997513
PECOS PAC ID: 2567362676
Enrollment ID: I20040113000443
Provider NameBrian W Zernich
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1902878895
PECOS PAC ID: 9931091253
Enrollment ID: I20040329001820
Provider NameBashar J Markabawi
Provider TypePractitioner - Interventional Cardiology
Provider IdentifiersNPI Number: 1518968429
PECOS PAC ID: 2567457484
Enrollment ID: I20040419001198
Provider NameAyman Jamal
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1083600845
PECOS PAC ID: 9436114915
Enrollment ID: I20050927000129
Provider NameAnthony C Pozun
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1275580755
PECOS PAC ID: 3779586870
Enrollment ID: I20060810000123
Provider NameCordell A Esplin
Provider TypePractitioner - Interventional Radiology
Provider IdentifiersNPI Number: 1619942216
PECOS PAC ID: 6002891447
Enrollment ID: I20080428000285
Provider NameWei Jen Sheu
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1104069392
PECOS PAC ID: 0446306625
Enrollment ID: I20090914000750
Provider NameMichael C Switzer
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1639309073
PECOS PAC ID: 1759436967
Enrollment ID: I20100702000245
Provider NameMary Grace Leon
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1295978799
PECOS PAC ID: 8921131855
Enrollment ID: I20100729000399
Provider NameDrew Hunter
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1649415308
PECOS PAC ID: 7416125562
Enrollment ID: I20110718000071
Provider NameScott M Brannan
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1033369707
PECOS PAC ID: 4688866619
Enrollment ID: I20120730000756
Provider NameFaisal A Bahadur
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1144421355
PECOS PAC ID: 3375699168
Enrollment ID: I20120806000065
Provider NameBarbara L Hanisch Lucas
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1023361599
PECOS PAC ID: 9234381336
Enrollment ID: I20121219000291
Provider NameElsa Cedillo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1760840391
PECOS PAC ID: 7113226978
Enrollment ID: I20160428001312
Provider NameMichelle Gustafson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497126874
PECOS PAC ID: 9739470287
Enrollment ID: I20160614001283
Provider NameJacqueline M Walker
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1922400811
PECOS PAC ID: 3577885573
Enrollment ID: I20161128001227
Provider NameJodi Frances Kirk
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1164973558
PECOS PAC ID: 1355622374
Enrollment ID: I20170106000992
Provider NameKristi Ford
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1316458508
PECOS PAC ID: 9133485238
Enrollment ID: I20171106002159
Provider NameNikhil C Patel
Provider TypePractitioner - Interventional Radiology
Provider IdentifiersNPI Number: 1053345926
PECOS PAC ID: 7911800487
Enrollment ID: I20180919002131
Provider NameJack R Hannallah
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1497018915
PECOS PAC ID: 3274898481
Enrollment ID: I20181025001409
Provider NameAna Garcia
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1851860415
PECOS PAC ID: 5092053447
Enrollment ID: I20190211002951
Provider NameArthur Maydell
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1992078745
PECOS PAC ID: 2668784422
Enrollment ID: I20190322002095
Provider NameKathrina Lynn Ridley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700358322
PECOS PAC ID: 1052629961
Enrollment ID: I20190402001741
Provider NameLuis Nadal
Provider TypePractitioner - Interventional Radiology
Provider IdentifiersNPI Number: 1720041510
PECOS PAC ID: 0547214710
Enrollment ID: I20190731000341
Provider NameEmma R Nunez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1053971796
PECOS PAC ID: 5092045104
Enrollment ID: I20191002001519
Provider NameSergei Sobolevsky
Provider TypePractitioner - Interventional Radiology
Provider IdentifiersNPI Number: 1831154301
PECOS PAC ID: 4183624950
Enrollment ID: I20191011002398
Provider NameSanjeev Saxena
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1093701120
PECOS PAC ID: 2769423359
Enrollment ID: I20191022002845
Provider NameRandy Savageau
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548804735
PECOS PAC ID: 1658704234
Enrollment ID: I20191212001915
Provider NameWalkennia E Simpson-earl
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1861052094
PECOS PAC ID: 8325472996
Enrollment ID: I20200107002970
Provider NamePatricia Ellen Williams
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1356990774
PECOS PAC ID: 8628406691
Enrollment ID: I20200325002835
Provider NameBenjamin Scott Wilson
Provider TypePractitioner - Interventional Radiology
Provider IdentifiersNPI Number: 1821382409
PECOS PAC ID: 6800190315
Enrollment ID: I20200325003435
Provider NameBabafemi Pratt
Provider TypePractitioner - Vascular Surgery
Provider IdentifiersNPI Number: 1174773873
PECOS PAC ID: 2365695509
Enrollment ID: I20201020002078
Provider NameMaria Litzendorf
Provider TypePractitioner - Vascular Surgery
Provider IdentifiersNPI Number: 1598935058
PECOS PAC ID: 3274696760
Enrollment ID: I20201222001904
Provider NameSuzzan Tarno
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1376571778
PECOS PAC ID: 3476582123
Enrollment ID: I20210119002794
Provider NamePatrick Duffy
Provider TypePractitioner - Vascular Surgery
Provider IdentifiersNPI Number: 1477726271
PECOS PAC ID: 2264599869
Enrollment ID: I20220330000758
Provider NameMamdouh Khayat
Provider TypePractitioner - Interventional Radiology
Provider IdentifiersNPI Number: 1780941583
PECOS PAC ID: 0840428108
Enrollment ID: I20221028001223
Provider NameSamuel Putnam
Provider TypePractitioner - Interventional Radiology
Provider IdentifiersNPI Number: 1023066404
PECOS PAC ID: 5991699522
Enrollment ID: I20221129003181
Provider NamePaul Rochon
Provider TypePractitioner - Interventional Radiology
Provider IdentifiersNPI Number: 1598913980
PECOS PAC ID: 5193910875
Enrollment ID: I20221130000799
Provider NameAlexander Shestopalov
Provider TypePractitioner - Interventional Radiology
Provider IdentifiersNPI Number: 1053756098
PECOS PAC ID: 5698021756
Enrollment ID: I20221130001905

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.