Dr Adam Shane Nally, DO - Medicare Family Practice in Surprise, AZ

Dr Adam Shane Nally, DO is a medicare enrolled "Family Medicine" physician in Surprise, Arizona. He went to At Still University Of Health Sciences, College Of Osteo Med, Kirksville and graduated in 1999 and has 25 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Adam S. Nally, D.o., P.c., Bhsm Rehabilitation Llc and his current practice location is 14800 W Mountain View Blvd, Suite 250, Surprise, Arizona. You can reach out to his office (for appointments etc.) via phone at (623) 584-7805.

Dr Adam Shane Nally is licensed to practice in Arizona (license number 3587) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1396784930.

Contact Information

Dr Adam Shane Nally, DO
14800 W Mountain View Blvd, Suite 250,
Surprise, AZ 85374-4795
(623) 584-7805
(623) 584-7856



Physician's Profile

Full NameDr Adam Shane Nally
GenderMale
SpecialityFamily Practice
Experience25 Years
Location14800 W Mountain View Blvd, Surprise, Arizona
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Adam Shane Nally attended and graduated from At Still University Of Health Sciences, College Of Osteo Med, Kirksville in 1999
  NPI Data:
  • NPI Number: 1396784930
  • Provider Enumeration Date: 06/06/2006
  • Last Update Date: 08/14/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 8022094366
  • Enrollment ID: I20040628000026

Medical Identifiers

Medical identifiers for Dr Adam Shane Nally such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396784930NPI-NPPES
704199MedicaidAZ
1811186802OtherAZCORPRATE NPI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 3587 (Arizona)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Banner Del E. Webb Medical CenterSun city west, AZHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Adam S. Nally, D.o., P.c.20624960783
Bhsm Rehabilitation Llc20627731381258

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Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Adam Shane Nally allows following entities to bill medicare on his behalf.
Entity NameAdam S. Nally, D.o., P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811186802
PECOS PAC ID: 2062496078
Enrollment ID: O20040616001401

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Adam Shane Nally is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Adam Shane Nally, DO
14800 W Mountain View Blvd, Suite 250,
Surprise, AZ 85374-4795

Ph: (623) 584-7805
Dr Adam Shane Nally, DO
14800 W Mountain View Blvd, Suite 250,
Surprise, AZ 85374-4795

Ph: (623) 584-7805

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Family Medicine Doctors in Surprise, AZ

Jacqueline Kristina Dumagpi, FNP-C
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 13995 W Statler Blvd, Surprise, AZ 85374
Phone: 623-478-3100    
Dr. Damien Arafiles, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 17014 W Bell Rd Ste 100, Surprise, AZ 85374
Phone: 623-249-7852    
Ravi K Bajpai, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 14973 W Bell Rd, #100, Surprise, AZ 85374
Phone: 623-815-2900    Fax: 623-583-1319
Dr. Dapinderjit Singh Gill, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 15351 W Bell Rd, Surprise, AZ 85374
Phone: 623-583-3001    
Vicki Denise Copeland, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 15351 W Bell Rd, Surprise, AZ 85374
Phone: 877-809-5092    Fax: 623-815-9253
Neena K Uppal, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 14674 W Mountain View Blvd # 200, Surprise, AZ 85374
Phone: 623-544-6860    Fax: 623-544-6861
Mr. Walter Richard Hadikin, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 14973 W Bell Rd, Ste #100, Surprise, AZ 85374
Phone: 623-815-2900    Fax: 623-583-1319

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