Northern Arizona Eye Associates
A Medicare group practice based in Flagstaff, AZ: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 5991748212), with 4 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 5991748212
- Provider type
- Part B Supplier - Ambulatory Surgical Center, Part B Supplier - Clinic/Group Practice
- Enrolled in
- AZ
- Enrollments
- 2
- Group size
- 2 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 2
Enrollment records 2
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20050608000201 | AZ | Part B Supplier - Clinic/Group Practice | 1659445062 |
| O20070815000592 | AZ | Part B Supplier - Ambulatory Surgical Center | 1679539688 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Northern Arizona Eye Associates
- Ophthalmology Physician
- Flagstaff, AZ
- NPI 1659445062
-
Northern Arizona Eye Associates
- Ambulatory Surgical Clinic/Center
- Flagstaff, AZ
- NPI 1679539688
Practice locations
- Flagstaff, AZ2
Clinicians 4
Clinicians who reassign their Medicare benefits to this group (4) or whom Care Compare lists as members (2).
-
Benjamin Vincent Clingan, O.D.
- Optometrist
- Chandler, AZ
- NPI 1679908669
-
Lexi Taylor Kortsen, OD
- Optometrist
- Flagstaff, AZ
- NPI 1558987644
-
Robert L Mahanti, M.D.
- Ophthalmology Physician
- Flagstaff, AZ
- NPI 1730146499
-
Randy David Wolfe, OD
- Optometrist
- Phoenix, AZ
- NPI 1326663865
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.