| Alliance Medical Clinic, Llc | |
|
42104 N Venture Dr Suite D118 Anthem AZ 85086-3823 | |
| (623) 505-6565 | |
| (623) 551-5567 |
| Full Name | Alliance Medical Clinic, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 42104 N Venture Dr, Anthem, Arizona |
| Authorized Official Name and Position | Alicia Anne Baer (PRACTICE MANAGER) |
| Authorized Official Contact | 6232718704 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alliance Medical Clinic, Llc 42104 N Venture Dr Suite D 118 Anthem AZ 85086-3823 Ph: (623) 505-6565 | Alliance Medical Clinic, Llc 42104 N Venture Dr Suite D118 Anthem AZ 85086-3823 Ph: (623) 505-6565 |
| NPI Number | 1740224054 |
|---|---|
| Provider Enumeration Date | 06/16/2006 |
| Last Update Date | 04/12/2022 |
| Medicare PECOS PAC ID | 1557374931 |
|---|---|
| Medicare Enrollment ID | O20060802000072 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740224054 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
| Provider Name | Patrick Salvatore Sciara |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003866278 PECOS PAC ID: 5092796136 Enrollment ID: I20040526000050 |
| Provider Name | Diane L Wren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811069628 PECOS PAC ID: 3577521202 Enrollment ID: I20060405000119 |
| Provider Name | Elfat Rumman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811266208 PECOS PAC ID: 0345475463 Enrollment ID: I20131028000321 |
| Provider Name | Jennifer Woodburn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003339268 PECOS PAC ID: 5092087973 Enrollment ID: I20170828003028 |
| Provider Name | Valerie Nicole Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134631120 PECOS PAC ID: 1759649668 Enrollment ID: I20171226001682 |
| Provider Name | Kristi M Mathews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457867004 PECOS PAC ID: 4688934870 Enrollment ID: I20180208000896 |
| Provider Name | Molly Michelle Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760966774 PECOS PAC ID: 4183978935 Enrollment ID: I20181113003294 |
| Provider Name | Lindsay Marie Navarro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932681756 PECOS PAC ID: 0941544613 Enrollment ID: I20181206001900 |
| Provider Name | Dana Ilea Vasquez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093798290 PECOS PAC ID: 5092754663 Enrollment ID: I20210302001559 |
| Provider Name | Robyn Procyk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063174464 PECOS PAC ID: 6103214887 Enrollment ID: I20211029000631 |
| Provider Name | Kimberly A Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518699479 PECOS PAC ID: 9133503014 Enrollment ID: I20220825003127 |
| Provider Name | Richard A Ayiyi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689301293 PECOS PAC ID: 6305214677 Enrollment ID: I20221116003313 |
Calvo Naturopathic Healthcare Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 42104 N Venture Dr, Stec126, Anthem, AZ 85086 Phone: 623-251-5518 Fax: 623-249-4748 | |
Ternion Physician Group, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 42104 N Venture Dr, Suite D118, Anthem, AZ 85086 Phone: 623-505-9880 Fax: 623-505-9880 | |
Pinnacle Anthem Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3648 W Anthem Way, Suite A100, Anthem, AZ 85086 Phone: 602-485-7482 Fax: 623-434-6448 | |
North Valley Health Care Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 42104 N Venture Dr Ste D118, Anthem, AZ 85086 Phone: 623-552-3756 Fax: 623-552-3759 | |
Balance Nutrition With Andi Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 41810 N Venture Dr Unit C122, Anthem, AZ 85086 Phone: 623-688-1498 | |
Gavilan Peak Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3648 W Anthem Way, A100, Anthem, AZ 85086 Phone: 623-434-6444 Fax: 623-434-6448 | |
District Medical Group, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3624 W Anthem Way Ste C116, Anthem, AZ 85086 Phone: 623-434-5748 Fax: 623-551-8882 |