Dr Adam Shane Nally, DO | |
14800 W Mountain View Blvd, Suite 250, Surprise, AZ 85374-4795 | |
(623) 584-7805 | |
(623) 584-7856 |
Full Name | Dr Adam Shane Nally |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 25 Years |
Location | 14800 W Mountain View Blvd, Surprise, Arizona |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396784930 | NPI | - | NPPES |
704199 | Medicaid | AZ | |
1811186802 | Other | AZ | CORPRATE NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 3587 (Arizona) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Banner Del E. Webb Medical Center | Sun city west, AZ | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Adam S. Nally, D.o., P.c. | 2062496078 | 3 |
Bhsm Rehabilitation Llc | 2062773138 | 1258 |
Entity Name | Adam S. Nally, D.o., P.c. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811186802 PECOS PAC ID: 2062496078 Enrollment ID: O20040616001401 |
Mailing Address | Practice Location Address |
---|---|
Dr Adam Shane Nally, DO 14800 W Mountain View Blvd, Suite 250, Surprise, AZ 85374-4795 Ph: (623) 584-7805 | Dr Adam Shane Nally, DO 14800 W Mountain View Blvd, Suite 250, Surprise, AZ 85374-4795 Ph: (623) 584-7805 |
Jacqueline Kristina Dumagpi, FNP-C Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 13995 W Statler Blvd, Surprise, AZ 85374 Phone: 623-478-3100 | |
Dr. Damien Arafiles, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 17014 W Bell Rd Ste 100, Surprise, AZ 85374 Phone: 623-249-7852 | |
Ravi K Bajpai, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 14973 W Bell Rd, #100, Surprise, AZ 85374 Phone: 623-815-2900 Fax: 623-583-1319 | |
Dr. Dapinderjit Singh Gill, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 15351 W Bell Rd, Surprise, AZ 85374 Phone: 623-583-3001 | |
Vicki Denise Copeland, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 15351 W Bell Rd, Surprise, AZ 85374 Phone: 877-809-5092 Fax: 623-815-9253 | |
Neena K Uppal, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 14674 W Mountain View Blvd # 200, Surprise, AZ 85374 Phone: 623-544-6860 Fax: 623-544-6861 | |
Mr. Walter Richard Hadikin, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 14973 W Bell Rd, Ste #100, Surprise, AZ 85374 Phone: 623-815-2900 Fax: 623-583-1319 |