PANACEA BRAIN AND SPINE, LLC
NPI 1457622763
Neurological Surgery in Lake Havasu City, AZ
About Panacea Brain And Spine, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PANACEA BRAIN AND SPINE, LLC (NPI 1457622763) is a healthcare organization registered as a neurological surgery in Lake Havasu City, Arizona and active in the NPI registry since January 2012. The organization maintains 2 additional practice locations and lists Chad Hartley, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Panacea Brain And Spine, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Panacea Brain And Spine, LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.
Clinicians, nearest first (3)
Lake Havasu City, AZ 86403
Lake Havasu City, AZ 86403
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Panacea Brain And Spine, LLC's NPI number?
The NPI number for Panacea Brain And Spine, LLC is 1457622763. It was assigned to this organization in the NPPES registry on January 18, 2012.
Where is Panacea Brain And Spine, LLC located?
Panacea Brain And Spine, LLC is located at 72 Lake Havasu Ave S Ste 102, Lake Havasu City, AZ 86403. The listed phone number is (928) 453-2211.
What is Panacea Brain And Spine, LLC's specialty?
The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.
Is Panacea Brain And Spine, LLC enrolled in Medicare?
Yes. Panacea Brain And Spine, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Panacea Brain And Spine, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Panacea Brain And Spine, LLC, in Neurosurgery and Orthopedic Surgery. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Panacea Brain And Spine, LLC was last updated on June 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.