Dr Kelli Raynell Favata, MD in Gilbert, AZ - Medicare

Dr Kelli Raynell Favata, MD is a medicare enrolled "Specialist/technologist Cardiovascular - Vascular Specialist" physician in Gilbert, Arizona. Her current practice location is 3420 S Mercy Rd Ste 211, Gilbert, Arizona. You can reach out to her office (for appointments etc.) via phone at (866) 974-2673.

Dr Kelli Raynell Favata is licensed to practice in Arizona (license number 45344) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1184822348.

Contact Information

	Dr Kelli Raynell Favata, MD
	3420 S Mercy Rd Ste 211, Gilbert, AZ 85297-0424
	(866) 974-2673
	(866) 939-2673

Physician's Profile

Full Name	Dr Kelli Raynell Favata
Gender	Female
Speciality
Experience	Years
Location	3420 S Mercy Rd Ste 211, Gilbert, Arizona
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Kelli Raynell Favata attended and graduated from in

NPI Data:

NPI Number: 1184822348
Provider Enumeration Date: 07/10/2007
Last Update Date: 09/30/2022

Medicare PECOS Information:

PECOS PAC ID:
Enrollment ID:

Medical Identifiers

Medical identifiers for Dr Kelli Raynell Favata such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184822348	NPI	-	NPPES
654974	Medicaid	AZ

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	45344 (Arizona)	Secondary
246XC2903X	Specialist/technologist Cardiovascular - Vascular Specialist	45344 (Arizona)	Primary
207R00000X	Internal Medicine	30177 (South Carolina)	Secondary

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 Kelli Raynell Favata 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 Address	Practice Location Address
Dr Kelli Raynell Favata, MD 18444 N 25th Ave Ste 310, Phoenix, AZ 85023-1266 Ph: (866) 974-2673	Dr Kelli Raynell Favata, MD 3420 S Mercy Rd Ste 211, Gilbert, AZ 85297-0424 Ph: (866) 974-2673

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Dr Kelli Raynell Favata, MD - Medicare in Gilbert, AZ