Pathways Of Arizona, Llc - Medicare Mental Health Clinic in Tucson, AZ

Pathways Of Arizona, Llc is a medicare enrolled mental health clinic (Clinic/center - Mental Health (including Community Mental Health Center)) in Tucson, Arizona. The current practice location for Pathways Of Arizona, Llc is 1161/1181 N El Dorado Pl, Tucson, Arizona. For appointments, you can reach them via phone at (520) 748-7108. The mailing address for Pathways Of Arizona, Llc is 1161 N El Dorado Pl Ste 203, Tucson, Arizona and phone number is (520) 748-7108.

Pathways Of Arizona, Llc is licensed to practice in Arizona (license number OTC6480). The clinic also participates in the medicare program and its NPI number is 1275845646. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (520) 748-7108.

Contact Information

Pathways Of Arizona, Llc
1161/1181 N El Dorado Pl
Tucson
AZ 85715
(520) 748-7108
(520) 745-0638

Map and Direction


Mental Health Clinic Profile

Full NamePathways Of Arizona, Llc
SpecialityClinic/Center
Location1161/1181 N El Dorado Pl, Tucson, Arizona
Authorized Official Name and PositionNancy Poe (CONTRACTS ADMINSITRATOR)
Authorized Official Contact5205701460
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Pathways Of Arizona, Llc
1161 N El Dorado Pl Ste 203
Tucson
AZ 85715-4607

Ph: (520) 748-7108
Pathways Of Arizona, Llc
1161/1181 N El Dorado Pl
Tucson
AZ 85715

Ph: (520) 748-7108

NPI Details:

NPI Number1275845646
Provider Enumeration Date07/13/2010
Last Update Date08/21/2023
Certification Date08/21/2023

Medicare PECOS Information:

Medicare PECOS PAC ID3173718152
Medicare Enrollment IDO20101116000985

Medical Identifiers

Medical identifiers for Pathways Of Arizona, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1275845646NPI-NPPES
000284MedicaidAZ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QM0801XClinic/center - Mental Health (including Community Mental Health Center) OTC6480 (Arizona)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Pathways Of Arizona, Llc acts as a billing entity for following providers:
Provider NameLori A Danker
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1922126465
PECOS PAC ID: 1951471986
Enrollment ID: I20080603000582
Provider NamePatrick Sola
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1700977840
PECOS PAC ID: 2769647106
Enrollment ID: I20120710000126
Provider NameMuriel E Rosenfeld
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1942637780
PECOS PAC ID: 5890093819
Enrollment ID: I20170119002789
Provider NameMargaret Gregg
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1104201896
PECOS PAC ID: 0941575328
Enrollment ID: I20171011001415
Provider NameGracie Adkisson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1063799856
PECOS PAC ID: 6002107257
Enrollment ID: I20200130000246
Provider NamePhillip Allen Stensrud
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1811523210
PECOS PAC ID: 8022431485
Enrollment ID: I20200702001057
Provider NameRatko John Sarazin
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1740439595
PECOS PAC ID: 3577630870
Enrollment ID: I20201001002979
Provider NameKyna Ambrose
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1992474621
PECOS PAC ID: 9739587098
Enrollment ID: I20211018001808
Provider NameLuis Arturo Guajardo
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1164132734
PECOS PAC ID: 0345611182
Enrollment ID: I20230113001974
Provider NameSerena Samaniego
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1316314958
PECOS PAC ID: 7911355565
Enrollment ID: I20231121001555
Provider NameSara E Dominguez
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1346625605
PECOS PAC ID: 5991153553
Enrollment ID: I20231121002183
Provider NameCarrie A Langley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1427725670
PECOS PAC ID: 7315395100
Enrollment ID: I20231205001706
Provider NameJulie Kotelman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1053923912
PECOS PAC ID: 6406112804
Enrollment ID: I20231208002884
Provider NameLynda Santillan
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1467047290
PECOS PAC ID: 4486004421
Enrollment ID: I20240103001057
Provider NameSherri Broughton
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1902235906
PECOS PAC ID: 4385095306
Enrollment ID: I20240103004309
Provider NameMichael Panico
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1730516865
PECOS PAC ID: 5193176113
Enrollment ID: I20240103004356
Provider NameStacy Lynette Gee
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1417419664
PECOS PAC ID: 0446601793
Enrollment ID: I20240110004881
Provider NameMonica Carrillo
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1861937906
PECOS PAC ID: 9638521669
Enrollment ID: I20240116001306

Reviews and Comments

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Phone: 520-623-7077    
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Phone: 520-323-0062    Fax: 520-323-1336
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Phone: 602-367-9807    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.