| Matthew Mai, | |
|
15351 W Bell Rd, Surprise, AZ 85374-4580 | |
| (877) 809-5092 | |
| Not Available |
| Full Name | Matthew Mai |
|---|---|
| Gender | Male |
| Speciality | Dietitian, Registered |
| Location | 15351 W Bell Rd, Surprise, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023719952 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 86295483 (Arizona) | Primary |
| Provider Name | Adelante Healthcare, Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1083772545 PECOS PAC ID: 4688588643 Enrollment ID: O20031114000335 |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew Mai, 3033 N Central Ave Ste 145, Phoenix, AZ 85012-2808 Ph: (623) 583-3001 | Matthew Mai, 15351 W Bell Rd, Surprise, AZ 85374-4580 Ph: (877) 809-5092 |
Kj Nutrition Dietitian Medicare: Not Enrolled in Medicare Practice Location: 14629 W Oberlin Way, Surprise, AZ 85387 Phone: 719-290-0002 |
Tiffany Marie Tutt, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 14719 W Grand Ave, Surprise, AZ 85374 Phone: 623-471-9355 Fax: 623-213-8523 |
Briana Davis, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 15351 W Bell Rd, Surprise, AZ 85374 Phone: 480-964-2273 Fax: 623-214-5214 |
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Nikki Kirby, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 12650 N 150th Ln, Surprise, AZ 85379 Phone: 480-202-8862 |
Jane Mcewan, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 15758 W Laurel Ln, Surprise, AZ 85379 Phone: 360-713-1699 |
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