| Blue Horse Medical, Llc | |
|
41818 N Venture Dr Ste 150 Anthem AZ 85086-3190 | |
| (623) 400-1501 | |
| (623) 246-4224 |
| Full Name | Blue Horse Medical, Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 41818 N Venture Dr Ste 150, Anthem, Arizona |
| Authorized Official Name and Position | Todd A Adams (OWNER) |
| Authorized Official Contact | 6234001501 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Horse Medical, Llc 39506 N Daisy Mountain Dr Ste 122418 Anthem AZ 85086-6078 Ph: (623) 400-1501 | Blue Horse Medical, Llc 41818 N Venture Dr Ste 150 Anthem AZ 85086-3190 Ph: (623) 400-1501 |
| NPI Number | 1821660671 |
|---|---|
| Provider Enumeration Date | 07/12/2021 |
| Last Update Date | 07/10/2023 |
| Certification Date | 07/10/2023 |
| Medicare PECOS PAC ID | 0547636581 |
|---|---|
| Medicare Enrollment ID | O20221017002745 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821660671 | NPI | - | NPPES |
| Provider Name | Todd A Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013514421 PECOS PAC ID: 8123430360 Enrollment ID: I20201214000304 |
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