Elizabeth Wild Bierer, MD
Individual provider Active NPI Family Medicine Physician · Show Low, AZ
NPI 1821329129 · NPPES record last updated Aug 16, 2021
Key facts
- NPI
- 1821329129
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 44328 (AZ)
- Practice address
- 5300 S Sutter Dr Ste a
Show Low, AZ 85901-8054 - Phone
- (928) 251-4244
- Fax
- (833) 539-1739
- NPI assigned
- Jan 26, 2010
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 4
Hospital & facility affiliations 10
Owned or controlled facilities with NPI records 1
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Arizona College of Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Hospitalist Medicine Healthcare LLC
Premier Mountain Healthcare LLC
Practice addresses (Care Compare)
2200 E Show Low Lake Rd
Show Low, AZ 85901-7831
Phone (302) 354-5471
5300 S Sutter Dr
Unit a
Show Low, AZ 85901-8374
Phone (928) 251-4244
Hospital & facility affiliations
- My Daughters Home Health Agency LLC
- Summit Healthcare Home Health
- Home Health Safford, LLC
- Hospice Compassus - White Mountain
- Summit Healthcare Regional Medical Center
- Cobre Valley Regional Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 16 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 14 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| My Daughters Home Health Agency LLC |
Home health agency | Corporate Director (50%) | Mar 20, 2024 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110823000995 | AZ | Practitioner - Family Practice | 9436329711 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A110169 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Mountain Healthcare LLC | Family Medicine | Current | Accepting new patients |
| Hospitalist Medicine Healthcare LLC | Current |
Accepting new patients | |
| Premier Mountain Healthcare LLC | Current |
Accepting new patients | |
| Summit Healthcare Association | Past | Accepting new patients |
Locations
5300 S Sutter Dr
Unit A
Show Low, AZ 85901
Phone (928) 251-4244
2200 E Show Low Lake Rd
Show Low, AZ 85901
Phone (928) 537-4375
Interoperability endpoints
- https://api.platform.athenahealth.com/24099/brand/1/csg/1/fhir/r4
- elizabeth.bierer.1@24099.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A110169 | CA | |
| Family Medicine Physician | 207Q00000X | 44328 | AZ | Yes |
Addresses
Primary practice location
5300 S Sutter Dr Ste a
Show Low, AZ 85901-8054
Mailing address
5300 S Sutter Dr Ste a
Show Low, AZ 85901-8054
Phone (928) 251-4244
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 609503 | Medicaid | AZ |
Other providers in Show Low, AZ
- Joshua James Beeler
- Matthew Belshe
- Sharon Bennett
- Grant S Berges
- Stephen Claude Betts
- Bigfoot Occupational Therapy, LLC
- Curtis Vance Birdno
- Blue Hills Quick Care LLC
- Blue Horizons Womens Health PLC
- Blue Ridge Anesthesia Inc
All providers in Show Low, AZ · Family Medicine Physician in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 16, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.