| Amg Medical Tucson Llc | |
|
6130 N La Cholla Blvd Ste 117 Tucson AZ 85741-3589 | |
| (520) 207-7434 | |
| (520) 269-6897 |
| Full Name | Amg Medical Tucson Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 6130 N La Cholla Blvd Ste 117, Tucson, Arizona |
| Authorized Official Name and Position | Amanda Bacchus-morris (MD / OWNER) |
| Authorized Official Contact | 5202077434 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Amg Medical Tucson Llc 6130 N La Cholla Blvd Ste 117 Tucson AZ 85741-3589 Ph: (520) 207-7434 | Amg Medical Tucson Llc 6130 N La Cholla Blvd Ste 117 Tucson AZ 85741-3589 Ph: (520) 207-7434 |
| NPI Number | 1013517333 |
|---|---|
| Provider Enumeration Date | 10/27/2020 |
| Last Update Date | 11/18/2020 |
| Medicare PECOS PAC ID | 1153734587 |
|---|---|
| Medicare Enrollment ID | O20210104001690 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013517333 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 207RB0002X | Internal Medicine - Obesity Medicine | (* (Not Available)) | Secondary |
| Provider Name | Gerald E Morris |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619269875 PECOS PAC ID: 2163692880 Enrollment ID: I20110906000706 |
| Provider Name | Amanda S Bacchus Morris |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164714325 PECOS PAC ID: 9335319052 Enrollment ID: I20110906000715 |
| Provider Name | Marissa L Poole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730503855 PECOS PAC ID: 3476776170 Enrollment ID: I20140528000439 |
| Provider Name | Gina Pierce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861969834 PECOS PAC ID: 4486994274 Enrollment ID: I20190313002528 |
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