| Premier Care Medical Services Pllc | |
| 
					212 W Superstition Blvd Ste 101 Apache Junction AZ 85120-4127  | |
| (480) 877-0120 | |
| (888) 498-4092 | 
| Full Name | Premier Care Medical Services Pllc | 
|---|---|
| Speciality | Clinic/Center | 
| Location | 212 W Superstition Blvd Ste 101, Apache Junction, Arizona | 
| Authorized Official Name and Position | Alexander Dupuis (OWNER/ MANAGER) | 
| Authorized Official Contact | 4808770120 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Premier Care Medical Services Pllc 212 W Superstition Blvd Ste 101 Apache Junction AZ 85120-4127 Ph: (480) 877-0120  | Premier Care Medical Services Pllc 212 W Superstition Blvd Ste 101 Apache Junction AZ 85120-4127 Ph: (480) 877-0120  | 
| NPI Number | 1245798933 | 
|---|---|
| Provider Enumeration Date | 03/12/2019 | 
| Last Update Date | 11/25/2022 | 
| Medicare PECOS PAC ID | 6204265192 | 
|---|---|
| Medicare Enrollment ID | O20200327001433 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1245798933 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary | 
| Provider Name | Alexander L Dupuis | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1528537750 PECOS PAC ID: 1153661392 Enrollment ID: I20190325002768  | 
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