| Andrew Thomas Petrak, DNP | |
|
1323 W Prince Rd, Tucson, AZ 85705-3114 | |
| (520) 887-0800 | |
| (520) 887-1393 |
| Full Name | Andrew Thomas Petrak |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 4 Years |
| Location | 1323 W Prince Rd, Tucson, Arizona |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144891037 | NPI | - | NPPES |
| 096533 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 259011 (Arizona) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Marana Health Center Inc | 2365348091 | 83 |
| Entity Name | Marana Health Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447263405 PECOS PAC ID: 2365348091 Enrollment ID: O20031211000790 |
| Entity Name | El Rio Santa Cruz Neighborhood Health Center, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487602736 PECOS PAC ID: 6305739244 Enrollment ID: O20040205000098 |
| Mailing Address | Practice Location Address |
|---|---|
| Andrew Thomas Petrak, DNP Po Box 188, Marana, AZ 85653-0188 Ph: (520) 682-4111 | Andrew Thomas Petrak, DNP 1323 W Prince Rd, Tucson, AZ 85705-3114 Ph: (520) 887-0800 |
Patricia Hiebert, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3870 W River Rd Ste 126, Tucson, AZ 85741 Phone: 520-219-6616 Fax: 520-742-6187 | |
Emily Snavely De La Rosa, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 707 N Alvernon Way, Ste. 101, Tucson, AZ 85711 Phone: 520-694-1640 | |
Mrs. Hazel Echavez Mercado, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10975 E White Sage Dr, Tucson, AZ 85747 Phone: 520-203-7531 Fax: 520-437-0390 | |
Mr. Daniel Leon Ross Jr., NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 600 W Orange Grove Rd Unit A16, Tucson, AZ 85704 Phone: 520-909-3844 Fax: 520-308-5511 | |
Mrs. Diana Verdugo, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 620 N Craycroft Rd, Tucson, AZ 85711 Phone: 520-519-8550 Fax: 520-747-3269 | |
Neva Corbell, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1951 N Wilmot Rd, Bldg 4, Tucson, AZ 85712 Phone: 520-318-1114 Fax: 520-318-4693 | |
Holly Marie Hill, MSN, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2802 E District St, Tucson, AZ 85714 Phone: 520-584-5820 Fax: 520-514-1514 |