| Bruncuso Holdings Llc | |
|
4425 E Villa Cassandra Way Cave Creek AZ 85331-9564 | |
| (480) 847-2273 | |
| Not Available |
| Full Name | Bruncuso Holdings Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 4425 E Villa Cassandra Way, Cave Creek, Arizona |
| Authorized Official Name and Position | Rene Michelle Sherry (DIRECTOR OF ADMINISTRATION) |
| Authorized Official Contact | 4808472273 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bruncuso Holdings Llc 4425 E Villa Cassandra Way Cave Creek AZ 85331-9564 Ph: (480) 847-2273 | Bruncuso Holdings Llc 4425 E Villa Cassandra Way Cave Creek AZ 85331-9564 Ph: (480) 847-2273 |
| NPI Number | 1497442586 |
|---|---|
| Provider Enumeration Date | 04/19/2023 |
| Last Update Date | 04/19/2023 |
| Medicare PECOS PAC ID | 4789043449 |
|---|---|
| Medicare Enrollment ID | O20230629000414 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497442586 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Ronald Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114426012 PECOS PAC ID: 9335400738 Enrollment ID: I20180227003134 |
| Provider Name | Teresa Gannon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821392424 PECOS PAC ID: 6002289238 Enrollment ID: I20230308002019 |
| Provider Name | Laura Elizabeth Uhlmansiek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073945606 PECOS PAC ID: 1557584646 Enrollment ID: I20230719000262 |
| Provider Name | Raymond Joseph Hutson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851459986 PECOS PAC ID: 2365547510 Enrollment ID: I20230804002639 |
| Provider Name | Traci Mancuso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619069226 PECOS PAC ID: 6608824503 Enrollment ID: I20230825002749 |
Asap Health Solutions Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 29455 N Cave Creek Rd, Building 118 Suite 605, Cave Creek, AZ 85331 Phone: 602-996-5595 Fax: 602-996-5610 | |
Dynamite Creek Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4712 E Dynamite Blvd, Cave Creek, AZ 85331 Phone: 480-342-8711 Fax: 480-342-7077 | |
One To One Primary Care, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7100 E Cave Creek Rd, Suite 115, Cave Creek, AZ 85331 Phone: 877-677-7744 Fax: 877-677-7744 | |
Primary Care Physicians Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5100 E Rancho Paloma Dr Unit 2040, Cave Creek, AZ 85331 Phone: 480-233-0090 | |
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B.c, Medical Group Plc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 30633 N 46th Pl, Cave Creek, AZ 85331 Phone: 623-518-0719 |