| Ascend Healthcare, Pllc | |
|
8222 S 48th St Ste 200 Phoenix AZ 85044-5303 | |
| (623) 300-5477 | |
| (800) 725-1576 |
| Full Name | Ascend Healthcare, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 8222 S 48th St Ste 200, Phoenix, Arizona |
| Authorized Official Name and Position | Joshua James Leslie (ADMINISTRATOR) |
| Authorized Official Contact | 6233005477 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ascend Healthcare, Pllc 8222 S 48th St Ste 200 Phoenix AZ 85044-5303 Ph: (623) 300-5477 | Ascend Healthcare, Pllc 8222 S 48th St Ste 200 Phoenix AZ 85044-5303 Ph: (623) 300-5477 |
| NPI Number | 1093399479 |
|---|---|
| Provider Enumeration Date | 05/11/2021 |
| Last Update Date | 05/04/2023 |
| Certification Date | 05/04/2023 |
| Medicare PECOS PAC ID | 0749685642 |
|---|---|
| Medicare Enrollment ID | O20210816001661 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093399479 | NPI | - | NPPES |
| Provider Name | Rahsaan L Lindsey |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245400928 PECOS PAC ID: 8123155710 Enrollment ID: I20150130001722 |
| Provider Name | Thomas Knutson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003109745 PECOS PAC ID: 1759684939 Enrollment ID: I20171201002147 |
| Provider Name | Christina P Delano |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679827059 PECOS PAC ID: 0143527358 Enrollment ID: I20180226001246 |
| Provider Name | Melissa Jandt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164796876 PECOS PAC ID: 7113282856 Enrollment ID: I20180529002787 |
| Provider Name | Stephanie Chirco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801468566 PECOS PAC ID: 9032514294 Enrollment ID: I20210826000227 |
| Provider Name | Kristine Nutt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245379973 PECOS PAC ID: 2567551914 Enrollment ID: I20211105000603 |
| Provider Name | Leslie Boag |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588331193 PECOS PAC ID: 5890186001 Enrollment ID: I20211223001078 |
| Provider Name | Montana Kaye Mellott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700543485 PECOS PAC ID: 5890161210 Enrollment ID: I20221026000513 |
| Provider Name | Imelda Awuor Bonner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508140237 PECOS PAC ID: 6204209604 Enrollment ID: I20230306002492 |
| Provider Name | Sarah E Warner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891986022 PECOS PAC ID: 1456716646 Enrollment ID: I20230421001114 |
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