Misty Villar, - Medicare Pediatrics in Mesa, AZ

Misty Villar, is a medicare enrolled "Pediatrics - Pediatric Hematology-oncology" physician in Mesa, Arizona. Her current practice location is 1400 S Dobson Rd, Mesa, Arizona. You can reach out to her office (for appointments etc.) via phone at (480) 412-4100.

Misty Villar is licensed to practice in Arizona (license number 229681) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1831742618.

Contact Information

Misty Villar,
1400 S Dobson Rd,
Mesa, AZ 85202-4707
(480) 412-4100
Not Available



Physician's Profile

Full NameMisty Villar
GenderFemale
SpecialityPediatrics - Pediatric Hematology-oncology
Location1400 S Dobson Rd, Mesa, Arizona
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1831742618
  • Provider Enumeration Date: 07/19/2019
  • Last Update Date: 07/19/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 2961731526
  • Enrollment ID: I20190906000756

Medical Identifiers

Medical identifiers for Misty Villar such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1831742618NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2080P0207XPediatrics - Pediatric Hematology-oncology 229681 (Arizona)Primary

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. Misty Villar allows following entities to bill medicare on her behalf.
Entity NameBanner -- University Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508809427
PECOS PAC ID: 7719899871
Enrollment ID: O20031105000694

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Entity NameBanner Physician Super Specialists Arizona Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841573870
PECOS PAC ID: 7911173794
Enrollment ID: O20111228000353

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Entity NameBanner - University Super Specialists Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740650555
PECOS PAC ID: 1850695255
Enrollment ID: O20160204002443

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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. Misty Villar 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
Misty Villar,
5525 W Coles Rd,
Laveen, AZ 85339-5254

Ph: (602) 318-0145
Misty Villar,
1400 S Dobson Rd,
Mesa, AZ 85202-4707

Ph: (480) 412-4100

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Pediatrics Doctors in Mesa, AZ

Jyoti S. Lebonheur, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1840 S. Stapley Drive, Suite 101, Mesa, AZ 85204
Phone: 480-464-8500    
Dr. Eric Gabriel Gonzalez, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 616 E Southern Ave, #103, Mesa, AZ 85204
Phone: 602-569-3999    Fax: 602-569-3887
Pacita Tee Opulencia, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 59 S Hibbert, Mesa, AZ 85210
Phone: 480-344-6226    Fax: 602-344-6201
Dr. Daniel E Miga, MD
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 1432 S Dobson Rd Ste 512, Mesa, AZ 85202
Phone: 480-412-6336    Fax: 480-412-8013
Naresh Reddivalla, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1432 S Dobson Rd Ste 107, Mesa, AZ 85202
Phone: 480-412-4100    
Dale W Guthrie, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 4540 E Baseline Rd, Suite 108, Mesa, AZ 85206
Phone: 480-892-3880    Fax: 480-545-4551
Dr. Leno Mammen Thomas, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1432 S Dobson Rd Ste 506, Mesa, AZ 85202
Phone: 480-412-6430    

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