Desert Senita Community Health Center - Medicare Primary Care in Ajo, AZ

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Desert Senita Community Health Center is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Ajo, Arizona. The current practice location for Desert Senita Community Health Center is 410 N Malacate St, Ajo, Arizona. For appointments, you can reach them via phone at (520) 387-5651. The mailing address for Desert Senita Community Health Center is 410 N Malacate St, Ajo, Arizona and phone number is (520) 387-5651.

Desert Senita Community Health Center is licensed to practice in Arizona (license number OTC-0274). The clinic also participates in the medicare program and its NPI number is 1114037496. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (520) 387-5651.

Contact Information

Desert Senita Community Health Center
410 N Malacate St
Ajo
AZ 85321-2254
(520) 387-5651
(520) 387-5347

Map and Direction


Primary Care Clinic Profile

Full NameDesert Senita Community Health Center
SpecialityClinic/Center
Location410 N Malacate St, Ajo, Arizona
Authorized Official Name and PositionDaniel Barbara (CHIEF EXECUTIVE OFFICER)
Authorized Official Contact5203875651
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Desert Senita Community Health Center
410 N Malacate St
Ajo
AZ 85321-2254

Ph: (520) 387-5651		Desert Senita Community Health Center
410 N Malacate St
Ajo
AZ 85321-2254

Ph: (520) 387-5651

NPI Details:

NPI Number1114037496
Provider Enumeration Date08/30/2006
Last Update Date01/08/2024

Medicare PECOS Information:

Medicare PECOS PAC ID3476441866
Medicare Enrollment IDO20040308000777

Medical Identifiers

Medical identifiers for Desert Senita Community Health Center such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114037496NPI-NPPES
155681MedicaidAZ
AZ0910930OtherAZBCBS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QF0400XClinic/center - Federally Qualified Health Center (fqhc) OTC-0274 (Arizona)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Desert Senita Community Health Center acts as a billing entity for following providers:
Provider NameGorky Herrera
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1740222025
PECOS PAC ID: 2860391638
Enrollment ID: I20031231000450
Provider NameBoru M Nale
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1497949226
PECOS PAC ID: 3678521804
Enrollment ID: I20071120000344
Provider NameWen Hui Cai
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1679657910
PECOS PAC ID: 1355324195
Enrollment ID: I20080813000521
Provider NameBrian David Jones
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1720063282
PECOS PAC ID: 5890717771
Enrollment ID: I20100720000256
Provider NameLawrence S Kahn
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1083688113
PECOS PAC ID: 8921990383
Enrollment ID: I20100914001407
Provider NameScott Ellis
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1790099364
PECOS PAC ID: 1052505369
Enrollment ID: I20101101000683
Provider NameJeffrey R Lavoy
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1013002518
PECOS PAC ID: 2567643752
Enrollment ID: I20110221001052
Provider NameBernadine R Miu
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1760721161
PECOS PAC ID: 8527203108
Enrollment ID: I20130402000464
Provider NameSamuel Sanchez
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1780693861
PECOS PAC ID: 2264338714
Enrollment ID: I20130724000094
Provider NameBenjamin F Horberg
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1073583993
PECOS PAC ID: 4082646567
Enrollment ID: I20140602001570
Provider NameThomas E Horst
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1871642082
PECOS PAC ID: 5698796480
Enrollment ID: I20160209000197
Provider NameMarlene L Wilson-lavalley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1275919698
PECOS PAC ID: 9436454741
Enrollment ID: I20160224002724
Provider NameTanya L Smith
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1184116824
PECOS PAC ID: 3779830906
Enrollment ID: I20180719001363
Provider NameJohn E Hess
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1720171556
PECOS PAC ID: 3476645292
Enrollment ID: I20180815003141
Provider NameKelly Phelps
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1831270073
PECOS PAC ID: 5294636783
Enrollment ID: I20181206003194
Provider NameJohn Charles Sauer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1588136998
PECOS PAC ID: 2567702665
Enrollment ID: I20190328000702
Provider NameKatiria M Alvarez
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1851935787
PECOS PAC ID: 0648604751
Enrollment ID: I20191226000814
Provider NameAbimbola Dtonye Iketubosin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1356841514
PECOS PAC ID: 6709129554
Enrollment ID: I20200812001642
Provider NameBriauna Ramirez
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1831760610
PECOS PAC ID: 2860880515
Enrollment ID: I20211101001830
Provider NameFatima Lah
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1477053338
PECOS PAC ID: 1052782224
Enrollment ID: I20231013003073
Provider NameBoriana Nikolova
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1598432585
PECOS PAC ID: 3678961281
Enrollment ID: I20231026004149
Provider NameRekha Cheriyan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1427730423
PECOS PAC ID: 2365890803
Enrollment ID: I20231122001442
Provider NameIsabella Isabella Barrera
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1881989135
PECOS PAC ID: 4981055944
Enrollment ID: I20240104000981
Provider NameYvonne R Hess
Provider TypePractitioner - Marriage And Family Therapist
Provider IdentifiersNPI Number: 1104939750
PECOS PAC ID: 8325481096
Enrollment ID: I20240209000818
Provider NameMichele Mitchell
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1528614757
PECOS PAC ID: 4385087766
Enrollment ID: I20240213003023
Provider NameJill R Unruh
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1316208416
PECOS PAC ID: 2365887650
Enrollment ID: I20240226004072

Reviews and Comments


Clinic/Center in Ajo, AZ

Portable Practical Education Preparation Inc.
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 111 La Mina Ave, Room 5, Ajo, AZ 85321
Phone: 520-387-5232    Fax: 520-387-5732

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.