| Jeramie Daniel Carr, | |
|
483 W Seed Farm Rd, Sacaton, AZ 85147-5000 | |
| (602) 528-1200 | |
| (602) 528-1255 |
| Full Name | Jeramie Daniel Carr |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 483 W Seed Farm Rd, Sacaton, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447036025 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 297355 (Arizona) | Primary |
| Entity Name | Emergency Group Of Arizona Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215275433 PECOS PAC ID: 1355596644 Enrollment ID: O20130313000442 |
| Entity Name | Prescott Healthcare Solutions Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821454505 PECOS PAC ID: 4385940295 Enrollment ID: O20160302001795 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeramie Daniel Carr, Po Box 38, Sacaton, AZ 85147-0001 Ph: (602) 528-1200 | Jeramie Daniel Carr, 483 W Seed Farm Rd, Sacaton, AZ 85147-5000 Ph: (602) 528-1200 |
Connie Gigous, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 483 W. Seed Farm Rd., Sacaton, AZ 85147 Phone: 602-528-1200 Fax: 602-528-1255 | |
Joan E Lazore, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 483 W. Seed Farm Rd., Sacaton, AZ 85147 Phone: 602-528-1200 Fax: 602-520-1255 | |
Brooke Lee Billings, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 483 W Seed Farm Rd, Sacaton, AZ 85147 Phone: 602-528-1200 Fax: 602-528-1255 | |
Melissa R Lill, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 483 W. Seed Farm Rd, Sacaton, AZ 85147 Phone: 602-528-1200 Fax: 602-528-1255 | |
Mrs. Ansan Thomas, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 483 W Seed Farm Rd, Sacaton, AZ 85147 Phone: 602-528-1200 Fax: 602-528-1255 | |
Ms. Lorraine Susan Aguilar, RNP WHC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 483 W. Seed Farm Rd., #3, Sacaton, AZ 85147 Phone: 602-528-1400 Fax: 602-528-1402 | |
Ms. Jeanette Day Jicha, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 483 W Seed Farm Rd, Sacaton, AZ 85147 Phone: 602-528-1200 Fax: 602-528-1255 |