Balance Nutrition With Andi Llc - Medicare Primary Care in Anthem, AZ

Balance Nutrition With Andi Llc is a medicare enrolled primary clinic (Clinic/center) in Anthem, Arizona. The current practice location for Balance Nutrition With Andi Llc is 41810 N Venture Dr Unit C122, Anthem, Arizona. For appointments, you can reach them via phone at (623) 688-1498. The mailing address for Balance Nutrition With Andi Llc is 41810 N Venture Dr Unit C122, Anthem, Arizona and phone number is () -.

Balance Nutrition With Andi Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1306621032. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (623) 688-1498.

Contact Information

Balance Nutrition With Andi Llc
41810 N Venture Dr Unit C122
Anthem
AZ 85086-3172
(623) 688-1498
Not Available

Primary Care Clinic Profile

Full NameBalance Nutrition With Andi Llc
SpecialityClinic/Center
Location41810 N Venture Dr Unit C122, Anthem, Arizona
Authorized Official Name and PositionAndi Coffee (CEO)
Authorized Official Contact6236881498
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Balance Nutrition With Andi Llc
41810 N Venture Dr Unit C122
Anthem
AZ 85086-3172

Ph: () -
Balance Nutrition With Andi Llc
41810 N Venture Dr Unit C122
Anthem
AZ 85086-3172

Ph: (623) 688-1498

NPI Details:

NPI Number1306621032
Provider Enumeration Date08/30/2023
Last Update Date08/30/2023

Medicare PECOS Information:

Medicare PECOS PAC ID6709232333
Medicare Enrollment IDO20231102000339

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Medical Identifiers

Medical identifiers for Balance Nutrition With Andi Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1306621032NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261Q00000XClinic/center (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Balance Nutrition With Andi Llc acts as a billing entity for following providers:
Provider NameAndi M Coffee
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1609487008
PECOS PAC ID: 0042664252
Enrollment ID: I20231102000377

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Clinic/Center in Anthem, AZ

Calvo Naturopathic Healthcare
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Medicare: Not Enrolled in Medicare
Practice Location: 42104 N Venture Dr, Stec126, Anthem, AZ 85086
Phone: 623-251-5518    Fax: 623-249-4748
Ternion Physician Group, Pllc
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 42104 N Venture Dr, Suite D118, Anthem, AZ 85086
Phone: 623-505-9880    Fax: 623-505-9880
Pinnacle Anthem
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 3648 W Anthem Way, Suite A100, Anthem, AZ 85086
Phone: 602-485-7482    Fax: 623-434-6448
North Valley Health Care Llc
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 42104 N Venture Dr Ste D118, Anthem, AZ 85086
Phone: 623-552-3756    Fax: 623-552-3759
Gavilan Peak Family Practice
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 3648 W Anthem Way, A100, Anthem, AZ 85086
Phone: 623-434-6444    Fax: 623-434-6448
District Medical Group, Inc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 3624 W Anthem Way Ste C116, Anthem, AZ 85086
Phone: 623-434-5748    Fax: 623-551-8882

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