Advanced Spine and Pain LLC

A Medicare group practice based in Phoenix, AZ: 6 NPIs enrolled under one PECOS associate control ID (PAC ID 0941610075), with 35 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
0941610075The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
DME Supplier - Physician - Anesthesiology, Part B Supplier - Clinic/Group Practice
Enrolled in
AZ
Enrollments
7
Group size
30 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
18In 10 places

Enrollment records 7

Enrollment IDStateProvider typeNPI
O20201102000020 AZ Part B Supplier - Clinic/Group Practice 1356950653
O20201229002697 AZ DME Supplier - Physician - Anesthesiology 1366048860
O20201229002585 AZ DME Supplier - Physician - Anesthesiology 1629679923
O20201204001932 AZ DME Supplier - Physician - Anesthesiology 1356950653
O20220209000368 AZ DME Supplier - Physician - Anesthesiology 1659030005
O20220516000751 AZ DME Supplier - Physician - Anesthesiology 1487394888
O20230609001228 AZ DME Supplier - Physician - Anesthesiology 1528764131

NPIs in this group 6

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 35

Clinicians who reassign their Medicare benefits to this group (35) or whom Care Compare lists as members (30).

Sources for this page