| Leigh Anne Costanzo, | |
|
1060 E Southern Ave Ste 106, Mesa, AZ 85204-5058 | |
| (480) 610-7100 | |
| (480) 870-7402 |
| Full Name | Leigh Anne Costanzo |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 1060 E Southern Ave Ste 106, Mesa, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932563392 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 007894 (Arizona) | Primary |
| Entity Name | Archwell Health Professional Services Of Arizona, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558026880 PECOS PAC ID: 9830566199 Enrollment ID: O20221031001469 |
| Mailing Address | Practice Location Address |
|---|---|
| Leigh Anne Costanzo, 102 Woodmont Blvd Ste 600, Nashville, TN 37205-5250 Ph: (615) 314-5257 | Leigh Anne Costanzo, 1060 E Southern Ave Ste 106, Mesa, AZ 85204-5058 Ph: (480) 610-7100 |
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 | |
Dr. Thomas P Porter, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1950 S Country Club Dr, Mesa, AZ 85210 Phone: 480-969-1446 Fax: 480-969-9105 | |
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 |