Spine Capital LLC

PAC ID

6608240411The PECOS associate control ID: one enrolled organization, which may hold several NPIs

Provider type

DME Supplier - Physician - General Surgery, Part B Supplier - Clinic/Group Practice

Enrolled in

AZ

Enrollments

2

Group size

2 cliniciansAs Care Compare reports it

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice locations

2In 1 place

Enrollment records 2

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

• Spine Capital LLC

  • Durable Medical Equipment & Medical Supplies
  • Gilbert, AZ
  • NPI 1619747284
• Spine Capital, LLC

  • Neurological Surgery Physician
  • Gilbert, AZ
  • NPI 1295447779

Clinicians who reassign their Medicare benefits to this group (2) or whom Care Compare lists as members (2).

• Hillary Ann Bashaw, APNP FNP-BC

  • Nurse Practitioner
  • Appleton, WI
  • NPI 1265048805
• Robert Mawunyo Koffie, MD

  • Neurological Surgery Physician
  • Gilbert, AZ
  • NPI 1760744460

• 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.