| Dr Luanne Takacs Kelly, NP | |
|
2400 W Dunlap Ave Ste 125, Phoenix, AZ 85021-2885 | |
| (520) 340-8686 | |
| (623) 738-0425 |
| Full Name | Dr Luanne Takacs Kelly |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 43 Years |
| Location | 2400 W Dunlap Ave Ste 125, Phoenix, Arizona |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073849360 | NPI | - | NPPES |
| UP80001B | Other | PA | NP LICENSE |
| 048119 | Other | AZ | ANCC |
| 1073849360 | Medicaid | AZ | |
| 618876 | Medicaid | AZ | |
| AP3594 | Other | AZ | ARIZONA BOARD OF NURSING |
| Z25025 | Other | AZ | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2200X | Nurse Practitioner - Adult Health | AP3594 (Arizona) | Primary |
| Entity Name | Bowsers Garden LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205476868 PECOS PAC ID: 8820419690 Enrollment ID: O20200603000182 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Luanne Takacs Kelly, NP 2400 W Dunlap Ave Ste 125, Phoenix, AZ 85021-2885 Ph: (602) 698-7597 | Dr Luanne Takacs Kelly, NP 2400 W Dunlap Ave Ste 125, Phoenix, AZ 85021-2885 Ph: (520) 340-8686 |
Ms. Karla D Wax, N.P.-C. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1331 N 7th St, Suite 275, Phoenix, AZ 85006 Phone: 602-254-3151 Fax: 602-256-9581 |
Sara Julander, RN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 300 W Clarendon Ave Ste 375, Phoenix, AZ 85013 Phone: 602-277-4161 Fax: 602-266-3481 |
Gia Kay Thompson, F.N.P Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3003 N Central Ave, Suite 800, Phoenix, AZ 85012 Phone: 602-462-1132 Fax: 602-462-1186 |
Michele A Riep, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3003 N Central Ave, Suite 800, Phoenix, AZ 85012 Phone: 602-462-1132 |
Dr. Monica Nassim Jeffers, NMD, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1732 E Sheena Dr, Phoenix, AZ 85022 Phone: 602-330-3420 |
Mrs. Kristin Carol Kolodziej, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3811 E Bell Rd Ste 206, Phoenix, AZ 85032 Phone: 480-680-6000 Fax: 480-306-5966 |
Mrs. Melanie Ann Nugent, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 22044 N 44th St Ste 200, Phoenix, AZ 85050 Phone: 602-257-7673 Fax: 602-257-7344 |