| Dr Thomas P Porter, MD | |
|
1950 S Country Club Dr, Mesa, AZ 85210-6008 | |
| (480) 969-1446 | |
| (480) 969-9105 |
| Full Name | Dr Thomas P Porter |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 43 Years |
| Location | 1950 S Country Club Dr, Mesa, 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 |
|---|---|---|---|
| 1023094141 | NPI | - | NPPES |
| 1Z7322 | Other | AZ | HEALTHNET |
| AZ0835980 | Other | AZ | BCBS AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 14193 (Arizona) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Bhsm Rehabilitation Llc | 2062773138 | 1575 |
| Banner Primary Care Physicians Arizona Llc | 6406020155 | 209 |
| Entity Name | Banner Primary Care Physicians Arizona Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417238908 PECOS PAC ID: 6406020155 Enrollment ID: O20111115000898 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Thomas P Porter, MD 1950 S Country Club Dr, Mesa, AZ 85210-6008 Ph: (480) 969-1446 | Dr Thomas P Porter, MD 1950 S Country Club Dr, Mesa, AZ 85210-6008 Ph: (480) 969-1446 |
Dr. Jose Rapanan Jr., DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10032 E Southern Ave, Mesa, AZ 85209 Phone: 480-351-2850 | |
George Ting, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1111 N Stapley Dr, Mesa, AZ 85203 Phone: 480-464-8500 | |
Dana S Farris, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10238 E Hampton Ave Ste 506, Mesa, AZ 85209 Phone: 480-834-7546 Fax: 480-833-8313 | |
Mrs. Keona E Smith, NURSE PRACTITIONER Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6015 E Brown Rd, Mesa, AZ 85205 Phone: 866-389-2727 | |
Nancy Mucha, CNP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2843 N 89th St, Mesa, AZ 85207 Phone: 480-396-3482 | |
Ryan Elisabeth Romo, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1705 W Main St, Mesa, AZ 85201 Phone: 877-809-5092 |