Desert Spine and Sports Physicians PLLC

A Medicare group practice based in Peoria, AZ: 4 NPIs enrolled under one PECOS associate control ID (PAC ID 6608927504), with 17 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
6608927504The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
DME Supplier - Physician - Physical and Rehabilitation, Part B Supplier - Clinic/Group Practice
Enrolled in
AZ
Enrollments
4
Group size
8 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
8In 5 places

Enrollment records 4

Enrollment IDStateProvider typeNPI
O20240611003782 AZ DME Supplier - Physician - Physical and Rehabilitation 1467206359
O20240611003959 AZ DME Supplier - Physician - Physical and Rehabilitation 1457105348
O20240611004222 AZ DME Supplier - Physician - Physical and Rehabilitation 1619721503
O20090707000208 AZ Part B Supplier - Clinic/Group Practice 1649411778

NPIs in this group 4

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 17

Clinicians who reassign their Medicare benefits to this group (17) or whom Care Compare lists as members (8).

Sources for this page