| Primary Care Physicians Group | |
|
5100 E Rancho Paloma Dr Unit 2040 Cave Creek AZ 85331-5189 | |
| (480) 233-0090 | |
| Not Available |
| Full Name | Primary Care Physicians Group |
|---|---|
| Speciality | Family Medicine |
| Location | 5100 E Rancho Paloma Dr Unit 2040, Cave Creek, Arizona |
| Authorized Official Name and Position | Kenneth Kearns (OWNER) |
| Authorized Official Contact | 4802330090 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Primary Care Physicians Group 5100 E Rancho Paloma Dr Unit 2040 Cave Creek AZ 85331-5189 Ph: (480) 233-0090 | Primary Care Physicians Group 5100 E Rancho Paloma Dr Unit 2040 Cave Creek AZ 85331-5189 Ph: (480) 233-0090 |
| NPI Number | 1558149377 |
|---|---|
| Provider Enumeration Date | 09/21/2023 |
| Last Update Date | 09/21/2023 |
| Medicare PECOS PAC ID | 3678922952 |
|---|---|
| Medicare Enrollment ID | O20231212002325 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558149377 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Kenneth Kearns |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1598148223 PECOS PAC ID: 8628381324 Enrollment ID: I20150724010252 |
| Provider Name | Socorro Gabriela Montes |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1568705952 PECOS PAC ID: 0941501597 Enrollment ID: I20200106003090 |
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