| Peter Paul Moheb Hennis, AGNP | |
|
520 N Camino Mercado Ste 1, Casa Grande, AZ 85122-5754 | |
| (520) 557-5600 | |
| (480) 494-2771 |
| Full Name | Peter Paul Moheb Hennis |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 520 N Camino Mercado Ste 1, Casa Grande, Arizona |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588233175 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LG0600X | Nurse Practitioner - Gerontology | 258473 (Arizona) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Bonhoeffer Rheumatology Institute Llc | 1850601360 | 10 |
| Entity Name | Bonhoeffer Rheumatology Institute LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811372345 PECOS PAC ID: 1850601360 Enrollment ID: O20151113000518 |
| Entity Name | Azure Medical PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295596195 PECOS PAC ID: 5294178935 Enrollment ID: O20260618001821 |
| Mailing Address | Practice Location Address |
|---|---|
| Peter Paul Moheb Hennis, AGNP 2451 E Baseline Rd, Gilbert, AZ 85234-2471 Ph: (480) 494-2770 | Peter Paul Moheb Hennis, AGNP 520 N Camino Mercado Ste 1, Casa Grande, AZ 85122-5754 Ph: (520) 557-5600 |
Ms. Sara Elizabeth Massaro, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1863 East Florence Blvd, Casa Grande, AZ 85122 Phone: 520-836-3446 |
Mrs. Tiffany Nicole Valdez, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1811 E Mcmurray Blvd, Casa Grande, AZ 85122 Phone: 520-374-6530 |
Mrs. Krista Marie Nielsen, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1676 E. Mcmurray Blvd, Cgrmc Urgent Care, Casa Grande, AZ 85222 Phone: 520-316-0688 |
Essie Harrell, FNP BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 865 N Arizola Rd, Casa Grande, AZ 85122 Phone: 520-836-3446 Fax: 520-836-8807 |
Dr. Sean Oney, DNP, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1863 East Florence Blvd, Casa Grande, AZ 85122 Phone: 520-836-3446 |
Eustacia Alana Jorvig, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1760 E Florence Blvd Ste 140, Casa Grande, AZ 85122 Phone: 602-795-8700 Fax: 602-795-8701 |
Kristin Marie Gerdes, CRNA Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1800 E Florence Blvd, Casa Grande, AZ 85122 Phone: 520-381-6150 |