| Elderhealth Pllc | |
|
1846 E Innovation Park Dr Oro Valley AZ 85755-1963 | |
| (520) 329-2699 | |
| Not Available |
| Full Name | Elderhealth Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1846 E Innovation Park Dr, Oro Valley, Arizona |
| Authorized Official Name and Position | Corinne Self (FOUNDER) |
| Authorized Official Contact | 5208299987 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elderhealth Pllc 1846 E Innovation Park Dr Oro Valley AZ 85755-1963 Ph: (520) 829-9987 | Elderhealth Pllc 1846 E Innovation Park Dr Oro Valley AZ 85755-1963 Ph: (520) 329-2699 |
| NPI Number | 1336746692 |
|---|---|
| Provider Enumeration Date | 10/08/2020 |
| Last Update Date | 09/02/2021 |
| Certification Date | 09/02/2021 |
| Medicare PECOS PAC ID | 5890105985 |
|---|---|
| Medicare Enrollment ID | O20201030000965 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336746692 | NPI | - | NPPES |
| Provider Name | Amy L Ginn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326174525 PECOS PAC ID: 2163596198 Enrollment ID: I20080808000263 |
| Provider Name | Melissa Koon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952555120 PECOS PAC ID: 1153483573 Enrollment ID: I20150610002427 |
| Provider Name | Laura A Aylmer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740356047 PECOS PAC ID: 3274535281 Enrollment ID: I20150615000053 |
| Provider Name | Corinne M Self |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1255629762 PECOS PAC ID: 6901105550 Enrollment ID: I20160503000719 |
| Provider Name | Peggy M Schmidt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457347197 PECOS PAC ID: 2062497449 Enrollment ID: I20201101000033 |
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