| John Michael Blanco Mata, NP | |
|
3250 Gateway Blvd Ste 112, Prescott, AZ 86303-6856 | |
| (708) 248-0049 | |
| Not Available |
| Full Name | John Michael Blanco Mata |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Location | 3250 Gateway Blvd Ste 112, Prescott, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639871247 | NPI | - | NPPES |
| Entity Name | Naz Hospitalists Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437137072 PECOS PAC ID: 5294627816 Enrollment ID: O20040329000289 |
| Entity Name | Alaga Health Chronic Care Management Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215631205 PECOS PAC ID: 7810330115 Enrollment ID: O20240202002725 |
| Mailing Address | Practice Location Address |
|---|---|
| John Michael Blanco Mata, NP Po Box 522, Humboldt, AZ 86329-0522 Ph: (708) 248-0049 | John Michael Blanco Mata, NP 3250 Gateway Blvd Ste 112, Prescott, AZ 86303-6856 Ph: (708) 248-0049 |
Nancy Concepcion Rosales, APRN, MSN, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1050 Gail Gardner Way Ste 300, Prescott, AZ 86305 Phone: 928-717-5232 Fax: 928-717-5238 | |
Mr. Donald Lee Pierce, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1812 N Pearl Ln, Prescott, AZ 86301 Phone: 602-526-0628 | |
Mrs. Brenda A. Austin, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3165 Stillwater Dr, Prescott, AZ 86305 Phone: 928-277-0875 Fax: 608-716-2838 | |
Mr. Galen Francis Richmond, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1090 Commerce Dr, Prescott, AZ 86305 Phone: 928-583-1000 Fax: 866-323-5458 | |
Mrs. Susan Elaine Spear, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1090 Commerce Dr, Prescott, AZ 86305 Phone: 928-583-1000 Fax: 866-323-8458 | |
Catherine A Kefer, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5430 Landmark Ln, Prescott, AZ 86301 Phone: 971-262-9600 | |
Ms. Lorraine Spiers, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2971 Willow Creek Rd # 3&4, Prescott, AZ 86301 Phone: 928-277-8088 Fax: 928-460-5280 |