Individual ProviderAnita D DaiInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address10404 W Coggins Dr, Ste 118, Sun City, AZ 85351-3465(623) 972-1055(480) 888-5421PECOS EnrollmentThis provider is enrolled in PECOS as ANITA DAI.Based on the most recent information from CMS, provider Anita D Dai is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1255539946Provider TypeIndividualFull NameDai, Anita DCredentialMDGenderFemaleSole ProprietorYesEnumeration Date7/5/2007Last Updated7/1/2015Contact InformationPractice LocationPractice Address10404 W Coggins Dr, Ste 118, Sun City, AZ 85351-3465Phone(623) 972-1055Fax(623) 972-1185Mailing LocationMailing Address1909 E Ray Rd, Ste 9-154, Chandler, AZ 85225-8735Phone(480) 888-5421Fax(855) 847-8908Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense37198ArizonaProvider IdentifiersIDDescriptionIssuerID37198DescriptionOtherIssuerMEDICAL LICENSEArizonaID228405DescriptionMedicaidIssuerUnlistedArizona