| Mhc Healthcare | |
|
13395 N Marana Main St Marana AZ 85653-7008 | |
| (520) 682-4111 | |
| (520) 682-3817 |
| Full Name | Mhc Healthcare |
|---|---|
| Speciality | Clinic/Center |
| Location | 13395 N Marana Main St, Marana, Arizona |
| Authorized Official Name and Position | Joshua B Carzoli (CEO) |
| Authorized Official Contact | 5206824111 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mhc Healthcare Po Box 188 Marana AZ 85653-0188 Ph: (520) 682-4111 | Mhc Healthcare 13395 N Marana Main St Marana AZ 85653-7008 Ph: (520) 682-4111 |
| NPI Number | 1447263405 |
|---|---|
| Provider Enumeration Date | 08/14/2006 |
| Last Update Date | 01/07/2025 |
| Certification Date | 01/07/2025 |
| Medicare PECOS PAC ID | 2365348091 |
|---|---|
| Medicare Enrollment ID | O20031211000790 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447263405 | NPI | - | NPPES |
| 329592 | Other | AZ | AHCCCS GROUP NUMBER |
| 060153 | Medicaid | AZ |
| Provider Name | Michael Goldman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366426074 PECOS PAC ID: 3678464187 Enrollment ID: I20040522000346 |
| Provider Name | Priscilla Lee |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1235126129 PECOS PAC ID: 5092790592 Enrollment ID: I20040621000067 |
| Provider Name | Beth E Newhouse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508881046 PECOS PAC ID: 5799753075 Enrollment ID: I20040923001013 |
| Provider Name | Linda C Ahn |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235162983 PECOS PAC ID: 9335184761 Enrollment ID: I20051010000274 |
| Provider Name | Joseph B Leano |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316961436 PECOS PAC ID: 3678570405 Enrollment ID: I20061108000510 |
| Provider Name | Ernesto R Gutierrez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366595605 PECOS PAC ID: 1254433816 Enrollment ID: I20070228000269 |
| Provider Name | Wen Hui Cai |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679657910 PECOS PAC ID: 1355324195 Enrollment ID: I20080813000521 |
| Provider Name | Patricia a Hiebert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003071325 PECOS PAC ID: 5597833178 Enrollment ID: I20081009000295 |
| Provider Name | Gerardo Carlos |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831170570 PECOS PAC ID: 4789749219 Enrollment ID: I20090218000042 |
| Provider Name | Kathleen a Karaszewski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982926226 PECOS PAC ID: 4587791553 Enrollment ID: I20100422000807 |
| Provider Name | Douglas G Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881949188 PECOS PAC ID: 3476703026 Enrollment ID: I20121017000526 |
| Provider Name | Veronica L Leano |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154550440 PECOS PAC ID: 1456505023 Enrollment ID: I20130206000564 |
| Provider Name | Jennifer M Carlile |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609217256 PECOS PAC ID: 4183867799 Enrollment ID: I20130829000861 |
| Provider Name | Mary a Clendenin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891764544 PECOS PAC ID: 8325073596 Enrollment ID: I20140224000862 |
| Provider Name | Glenda L Aguirre Kaiama |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952732380 PECOS PAC ID: 1254554439 Enrollment ID: I20140514002504 |
| Provider Name | Rose a Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497175293 PECOS PAC ID: 7911120860 Enrollment ID: I20140521001270 |
| Provider Name | Serah Muigai |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457748311 PECOS PAC ID: 6204149305 Enrollment ID: I20150718000009 |
| Provider Name | Ashley White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841669652 PECOS PAC ID: 9133438021 Enrollment ID: I20151015000882 |
| Provider Name | Bridgett Sabat Sabat |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1144517582 PECOS PAC ID: 6406076975 Enrollment ID: I20151111000982 |
| Provider Name | Devin P Kim |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629207725 PECOS PAC ID: 7113221243 Enrollment ID: I20160209002799 |
| Provider Name | Diana G Verdugo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003288945 PECOS PAC ID: 0345545877 Enrollment ID: I20160222002043 |
| Provider Name | Katrina Alt |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1417307067 PECOS PAC ID: 6002107786 Enrollment ID: I20160628001309 |
| Provider Name | Edgar Estaban Portillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467690701 PECOS PAC ID: 0143509216 Enrollment ID: I20161111001564 |
| Provider Name | Michael Macbrayne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932420379 PECOS PAC ID: 9638454952 Enrollment ID: I20170328001707 |
| Provider Name | Pamela M Howe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205376860 PECOS PAC ID: 8820374671 Enrollment ID: I20170411001553 |
| Provider Name | Thomas Franklin Woodruff |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1205835956 PECOS PAC ID: 4082973342 Enrollment ID: I20180111001130 |
| Provider Name | Brian Stephenson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851805477 PECOS PAC ID: 4981963899 Enrollment ID: I20180123002004 |
| Provider Name | Karen L Modrzejewski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831491059 PECOS PAC ID: 6901167451 Enrollment ID: I20180227000357 |
| Provider Name | Mai M El Gasim |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477940310 PECOS PAC ID: 5092066621 Enrollment ID: I20180920003173 |
| Provider Name | Angela G Puthenveetil |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649652280 PECOS PAC ID: 9638482912 Enrollment ID: I20180921002712 |
| Provider Name | Andrew R Dorsett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770070732 PECOS PAC ID: 5890049480 Enrollment ID: I20181119000484 |
| Provider Name | Danielle Emory Brower |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306233564 PECOS PAC ID: 6103160312 Enrollment ID: I20181128003176 |
| Provider Name | Daniel O Maduma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336609064 PECOS PAC ID: 2769725274 Enrollment ID: I20190525000044 |
| Provider Name | Corbin Ballam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205282894 PECOS PAC ID: 6709119662 Enrollment ID: I20190607000395 |
| Provider Name | Rui Wen Pang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851773881 PECOS PAC ID: 9032421516 Enrollment ID: I20190726001458 |
| Provider Name | Chioma a Ogala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528455391 PECOS PAC ID: 9133496987 Enrollment ID: I20190816001674 |
| Provider Name | Candice Kavita Bainey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902268147 PECOS PAC ID: 2668701541 Enrollment ID: I20190903002453 |
| Provider Name | Daniela Ainhoa Torres |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790347771 PECOS PAC ID: 4880026103 Enrollment ID: I20191107000514 |
| Provider Name | David a Vercel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225687023 PECOS PAC ID: 5890127724 Enrollment ID: I20191115000144 |
| Provider Name | Irma Urrutia-potter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447363890 PECOS PAC ID: 5799702197 Enrollment ID: I20200213002195 |
| Provider Name | Cristina Marie Lister |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427698166 PECOS PAC ID: 7113355447 Enrollment ID: I20200319000729 |
| Provider Name | Brittany Anne Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326674722 PECOS PAC ID: 6002246964 Enrollment ID: I20200417001294 |
| Provider Name | Sarah Elizabeth Griffin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790319523 PECOS PAC ID: 5698106870 Enrollment ID: I20200504002912 |
| Provider Name | Nick Thome |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1386063378 PECOS PAC ID: 3072807312 Enrollment ID: I20200508002534 |
| Provider Name | Danitza Jeanette Valle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568084713 PECOS PAC ID: 3375969652 Enrollment ID: I20200818000001 |
| Provider Name | Dawson Krain Lopez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740657923 PECOS PAC ID: 2365860962 Enrollment ID: I20200914002804 |
| Provider Name | Rachel a Clare |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952927683 PECOS PAC ID: 2769800085 Enrollment ID: I20200917001570 |
| Provider Name | Michelle Sue Rhodes-gloor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265042659 PECOS PAC ID: 1456770296 Enrollment ID: I20200929001818 |
| Provider Name | Karen Weber |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255382677 PECOS PAC ID: 4284785155 Enrollment ID: I20201001002312 |
| Provider Name | Rajeshwar Parmar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417484882 PECOS PAC ID: 9739452897 Enrollment ID: I20201021002992 |
| Provider Name | Sandra S Willingmyre |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699856534 PECOS PAC ID: 0042290926 Enrollment ID: I20201026001099 |
| Provider Name | Helena Theresa Caldwell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962059881 PECOS PAC ID: 9830509835 Enrollment ID: I20201103000808 |
| Provider Name | Stephen James Marshall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144816885 PECOS PAC ID: 9830502269 Enrollment ID: I20210104001468 |
| Provider Name | Phillip Jeffery Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386041895 PECOS PAC ID: 8325344807 Enrollment ID: I20210225002140 |
| Provider Name | Brooke L Ruth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962007237 PECOS PAC ID: 1850708496 Enrollment ID: I20210329000769 |
| Provider Name | Cecilia Adaora Nwakpuda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922633718 PECOS PAC ID: 2567879778 Enrollment ID: I20210405001604 |
| Provider Name | David a Prince |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740757400 PECOS PAC ID: 2668889858 Enrollment ID: I20210406001994 |
| Provider Name | Galyna Flink |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1346594462 PECOS PAC ID: 7810275690 Enrollment ID: I20210701001279 |
| Provider Name | Deevee Elizabeth Sanchez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396238978 PECOS PAC ID: 9537564877 Enrollment ID: I20210824002649 |
| Provider Name | Steven B Wilson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366033557 PECOS PAC ID: 4981009024 Enrollment ID: I20210826003610 |
| Provider Name | Sally Abdelmalek |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952896839 PECOS PAC ID: 8022355205 Enrollment ID: I20210831000740 |
| Provider Name | Megan Ritchey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528542420 PECOS PAC ID: 6406192301 Enrollment ID: I20210901003285 |
| Provider Name | Van-anh Huynh |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1770036212 PECOS PAC ID: 4688072622 Enrollment ID: I20211006000854 |
| Provider Name | Seton P Gruneisen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255904827 PECOS PAC ID: 3971901448 Enrollment ID: I20211013003457 |
| Provider Name | Lauren Elizabeth Halloran |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1912524265 PECOS PAC ID: 4183013410 Enrollment ID: I20211108001917 |
| Provider Name | Hillary Goldstein |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558867432 PECOS PAC ID: 2567717226 Enrollment ID: I20220217001818 |
| Provider Name | Heather Rae Robertson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851055982 PECOS PAC ID: 9931594439 Enrollment ID: I20220321000442 |
| Provider Name | Christiana L Billedalley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619631959 PECOS PAC ID: 7214069970 Enrollment ID: I20220407000758 |
| Provider Name | Amy Michell Castillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659037265 PECOS PAC ID: 0143617019 Enrollment ID: I20220422001299 |
| Provider Name | Jossy Najela Mossle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922762269 PECOS PAC ID: 0042607756 Enrollment ID: I20220427003135 |
| Provider Name | Mary Michelle Najera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568104537 PECOS PAC ID: 6103213756 Enrollment ID: I20220428001925 |
| Provider Name | Kelsey Palmer |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1992462725 PECOS PAC ID: 8820484694 Enrollment ID: I20220526000174 |
| Provider Name | Amira Yamamoto |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1104335801 PECOS PAC ID: 9234492364 Enrollment ID: I20220526000373 |
| Provider Name | Susan Marie Rogers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235866542 PECOS PAC ID: 0446633648 Enrollment ID: I20220822001651 |
| Provider Name | Nohemi Maciel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861860330 PECOS PAC ID: 8729462726 Enrollment ID: I20220824003073 |
| Provider Name | Grant Sawisky |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598484495 PECOS PAC ID: 8426432717 Enrollment ID: I20220906002416 |
| Provider Name | Christian Rene Mendoza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093362279 PECOS PAC ID: 8527443274 Enrollment ID: I20220915001753 |
| Provider Name | Jennifer Tatiana Jara |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164076022 PECOS PAC ID: 9931584646 Enrollment ID: I20220916000509 |
| Provider Name | Abbigael Naomi Simpson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154088532 PECOS PAC ID: 3476920836 Enrollment ID: I20221028000140 |
| Provider Name | Debarah Warner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396328977 PECOS PAC ID: 1557738325 Enrollment ID: I20221108000802 |
| Provider Name | Monica C Arriaga |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942948153 PECOS PAC ID: 1850769191 Enrollment ID: I20221117002660 |
| Provider Name | Christeen Min |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1275703068 PECOS PAC ID: 3173710837 Enrollment ID: I20230223000686 |
| Provider Name | Magdalena Fuentes |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1932617909 PECOS PAC ID: 3173864428 Enrollment ID: I20230302000874 |
| Provider Name | Jennifer Gipp |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1154520666 PECOS PAC ID: 8729189899 Enrollment ID: I20230428001673 |
| Provider Name | Joseph Severo Simon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285013375 PECOS PAC ID: 6103241732 Enrollment ID: I20230616003071 |
| Provider Name | Antonia Marie Doubrava |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386256808 PECOS PAC ID: 7517325939 Enrollment ID: I20230629002156 |
| Provider Name | Sarah-grace Murphy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740773274 PECOS PAC ID: 6406103407 Enrollment ID: I20230711004017 |
| Provider Name | Efren Bernal |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831727007 PECOS PAC ID: 2264855113 Enrollment ID: I20230713002732 |
| Provider Name | Rueshil Ketan Parekh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437853918 PECOS PAC ID: 7416319116 Enrollment ID: I20230811002530 |
| Provider Name | Arshdeep Sharma |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487358842 PECOS PAC ID: 0446612014 Enrollment ID: I20230814002235 |
| Provider Name | Elizabeth Pawlowski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750907119 PECOS PAC ID: 6002279155 Enrollment ID: I20230823000898 |
| Provider Name | Tracy Snowden |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1679699680 PECOS PAC ID: 7719020080 Enrollment ID: I20230824000033 |
| Provider Name | Nicholas Lehan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548883077 PECOS PAC ID: 2365864204 Enrollment ID: I20230925000784 |
| Provider Name | Sara Nicole Coutts |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1316334477 PECOS PAC ID: 0446604433 Enrollment ID: I20230925002513 |
| Provider Name | Ryan P Mette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871279737 PECOS PAC ID: 6406203710 Enrollment ID: I20231108001785 |
| Provider Name | Julie Kotelman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053923912 PECOS PAC ID: 6406112804 Enrollment ID: I20231208002884 |
| Provider Name | Stephanie Noperi |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1760999304 PECOS PAC ID: 4486004587 Enrollment ID: I20240102003609 |
| Provider Name | Chelsea Richards |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598391823 PECOS PAC ID: 0547610511 Enrollment ID: I20240103002432 |
| Provider Name | Ariana Bickerton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1164971776 PECOS PAC ID: 6305297235 Enrollment ID: I20240104003628 |
| Provider Name | Kimberly Fimbres |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1912675075 PECOS PAC ID: 5092166926 Enrollment ID: I20240104003757 |
| Provider Name | Matthew Brown |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174206064 PECOS PAC ID: 0042661738 Enrollment ID: I20240106000908 |
| Provider Name | Jason Wilhoit |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1790139624 PECOS PAC ID: 7719338144 Enrollment ID: I20240110000015 |
| Provider Name | Andrew Ross |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174530596 PECOS PAC ID: 0941651277 Enrollment ID: I20240110004309 |
| Provider Name | Mary Strasser |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1144560020 PECOS PAC ID: 9133570443 Enrollment ID: I20240111001816 |
| Provider Name | Benjamin Weege |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1457441842 PECOS PAC ID: 2062701659 Enrollment ID: I20240111002421 |
| Provider Name | Rocio Fonseca |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992224729 PECOS PAC ID: 3173974359 Enrollment ID: I20240111004951 |
| Provider Name | Cheryl Martin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538265699 PECOS PAC ID: 5890147888 Enrollment ID: I20240115001964 |
| Provider Name | Zandra Goldstein |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427473321 PECOS PAC ID: 1557713575 Enrollment ID: I20240116000914 |
| Provider Name | Corrina Nightingale Hartfield |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841798899 PECOS PAC ID: 1456703347 Enrollment ID: I20240116003344 |
| Provider Name | Sean Ellington |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1144331729 PECOS PAC ID: 9234581042 Enrollment ID: I20240117003057 |
| Provider Name | Julie L Russell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881309896 PECOS PAC ID: 6103278957 Enrollment ID: I20240117004467 |
| Provider Name | Patricia Gulli Barbier |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013345974 PECOS PAC ID: 1456703206 Enrollment ID: I20240117004505 |
| Provider Name | Victor Emile Paric |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1629004296 PECOS PAC ID: 1456363274 Enrollment ID: I20240124003740 |
| Provider Name | Norma Maisonet |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1053991679 PECOS PAC ID: 3678926508 Enrollment ID: I20240126003906 |
| Provider Name | Cathy Carpenter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013989078 PECOS PAC ID: 7315050176 Enrollment ID: I20240208004605 |
| Provider Name | Ashley Lockman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1801458336 PECOS PAC ID: 0042624934 Enrollment ID: I20240306002488 |
| Provider Name | Itzel Martinez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063299113 PECOS PAC ID: 1254777204 Enrollment ID: I20240312003688 |
| Provider Name | Thomas Allen Noth |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568034916 PECOS PAC ID: 2860830619 Enrollment ID: I20240329001526 |
| Provider Name | Carmen Daniela Mendoza |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1861161317 PECOS PAC ID: 1052759123 Enrollment ID: I20240409002080 |
| Provider Name | Nancy Osakwe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992357271 PECOS PAC ID: 0244663987 Enrollment ID: I20240425002543 |
| Provider Name | Andrea L Hale |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1912618737 PECOS PAC ID: 0446691406 Enrollment ID: I20240508003992 |
| Provider Name | Petra Mojica |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457922783 PECOS PAC ID: 9638530082 Enrollment ID: I20240604004352 |
| Provider Name | Damilola Oluyitan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023436540 PECOS PAC ID: 3971876210 Enrollment ID: I20240627000572 |
| Provider Name | Ilynn Marie Gruss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669215729 PECOS PAC ID: 3678017688 Enrollment ID: I20240702000463 |
| Provider Name | Odessa Mavis Thomas Hancock |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376826719 PECOS PAC ID: 8325583610 Enrollment ID: I20240710005165 |
| Provider Name | Melissa Ann Duster |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669218343 PECOS PAC ID: 1153866991 Enrollment ID: I20240716003800 |
| Provider Name | Jessi Lin Antle-williams |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427729862 PECOS PAC ID: 8426594060 Enrollment ID: I20240719001176 |
| Provider Name | Ronald Allen Fenton |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1023844479 PECOS PAC ID: 9739620022 Enrollment ID: I20240926002910 |
| Provider Name | Horry Nkeshimana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730936964 PECOS PAC ID: 4789115130 Enrollment ID: I20241009002218 |
| Provider Name | Dinajawan L Balderas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477384634 PECOS PAC ID: 6305378191 Enrollment ID: I20241017003248 |
| Provider Name | Steven Goldberg |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1871681346 PECOS PAC ID: 3971572231 Enrollment ID: I20241118004207 |
| Provider Name | Stephanie Lynn Ortiz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760204838 PECOS PAC ID: 0446785505 Enrollment ID: I20241126001840 |
| Provider Name | Mary Sweis |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1851580864 PECOS PAC ID: 0244394047 Enrollment ID: I20241203002612 |
| Provider Name | Alyssa Weller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295572592 PECOS PAC ID: 0143756569 Enrollment ID: I20241209003688 |
| Provider Name | Jennifer Lynn Meyerson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992473631 PECOS PAC ID: 7012444870 Enrollment ID: I20241218002803 |
| Provider Name | Michael Davis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316780638 PECOS PAC ID: 7315474590 Enrollment ID: I20241230002045 |
| Provider Name | Jessica Carbajal |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295446326 PECOS PAC ID: 1557899614 Enrollment ID: I20250116003353 |
| Provider Name | Jennifer Diane Call |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275340812 PECOS PAC ID: 2264961630 Enrollment ID: I20250130000386 |
| Provider Name | Krystina Eileen Delgado |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1548064546 PECOS PAC ID: 6507380631 Enrollment ID: I20250409003677 |
| Provider Name | Kari Lynn Beichter |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437944568 PECOS PAC ID: 7810414620 Enrollment ID: I20250506000867 |
| Provider Name | Rona a Bodman |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1992193726 PECOS PAC ID: 4981907060 Enrollment ID: I20250523002328 |
| Provider Name | Jennifer Bauhoff |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912365479 PECOS PAC ID: 4183131741 Enrollment ID: I20250729000639 |
| Provider Name | Cynthia Maria Munoz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811868490 PECOS PAC ID: 9739685892 Enrollment ID: I20250929003185 |
| Provider Name | Paul Cho |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831778216 PECOS PAC ID: 5698271039 Enrollment ID: I20251003001137 |
| Provider Name | Daniel Joseph Shuster |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326573361 PECOS PAC ID: 8123425006 Enrollment ID: I20251003002397 |
| Provider Name | Khrystyna Fomina |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508614439 PECOS PAC ID: 7618473000 Enrollment ID: I20251003002539 |
| Provider Name | Swathi Galidevara |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245088111 PECOS PAC ID: 3072010826 Enrollment ID: I20251008001057 |
| Provider Name | Jerimya Matthew Fox |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639664113 PECOS PAC ID: 4688162621 Enrollment ID: I20251022002073 |
| Provider Name | Rosalinda Flores |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1366318040 PECOS PAC ID: 5799275178 Enrollment ID: I20251104004417 |
| Provider Name | Jacquelyn Frances Collins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154767184 PECOS PAC ID: 1951893643 Enrollment ID: I20251120001660 |
| Provider Name | Hilda G Rodriguez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376946228 PECOS PAC ID: 9931692431 Enrollment ID: I20251203001998 |
| Provider Name | Isabella Chamseddine |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184582751 PECOS PAC ID: 3476030248 Enrollment ID: I20260122003312 |
| Provider Name | Barierane Akeeh |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1831921964 PECOS PAC ID: 3072092238 Enrollment ID: I20260209000415 |
| Provider Name | Brandon Michael Denson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366391187 PECOS PAC ID: 5890274898 Enrollment ID: I20260210002220 |
| Provider Name | Anna Motola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184130684 PECOS PAC ID: 3577823053 Enrollment ID: I20260220000745 |
| Provider Name | Keon Jones |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1265135974 PECOS PAC ID: 3870076797 Enrollment ID: I20260310001426 |
| Provider Name | Siobhan Marie Honer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043095672 PECOS PAC ID: 0749763092 Enrollment ID: I20260313003466 |
| Provider Name | Maricel Tamara Payeras |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811843022 PECOS PAC ID: 5496239659 Enrollment ID: I20260325002385 |
| Provider Name | Anthony Paul Greco |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1346776739 PECOS PAC ID: 6406331388 Enrollment ID: I20260328000520 |
| Provider Name | Karina Chacon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659983013 PECOS PAC ID: 3577038371 Enrollment ID: I20260409001087 |
| Provider Name | Sinalhi Ruiz |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1861168262 PECOS PAC ID: 2163991803 Enrollment ID: I20260512002631 |
| Provider Name | Jessica Lea Watters |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1427231729 PECOS PAC ID: 5294991295 Enrollment ID: I20260520001677 |
| Provider Name | Andrea Helene Ward |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1861013187 PECOS PAC ID: 6901376722 Enrollment ID: I20260521003125 |
| Provider Name | Haley Michelle Trejo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194662957 PECOS PAC ID: 3274004833 Enrollment ID: I20260604000822 |
| Provider Name | Michael Zhao |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1598128639 PECOS PAC ID: 1759673668 Enrollment ID: I20260611003678 |
Marana Health Center Behaioral Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 13644 N Sandario Rd, Marana, AZ 85653 Phone: 520-682-4560 Fax: 520-682-3299 |
Nest Therapy Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8773 W Atlow Rd, Marana, AZ 85653 Phone: 520-200-7166 |
Mindful Recovery Clinic LLC Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4688 W Tangerine Rd Apt 18107, Marana, AZ 85658 Phone: 203-823-2033 |
Marana Behavioral Health Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 13395 N Marana Main St, Marana, AZ 85653 Phone: 520-682-1091 Fax: 520-682-4132 |
Counseling and Wellness Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 13395 N Marana Main St, Bldg B, Marana, AZ 85653 Phone: 520-682-1091 Fax: 520-682-4132 |
Michele Myrus-brooks Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 11279 W Grier Rd, Marana, AZ 85653 Phone: 520-682-4782 |