Archwell Health Professional Services Of Arizona, Llc - Medicare Primary Care in Mesa, AZ

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Archwell Health Professional Services Of Arizona, Llc is a medicare enrolled primary clinic (Internal Medicine) in Mesa, Arizona. The current practice location for Archwell Health Professional Services Of Arizona, Llc is 4315 E Main St, Mesa, Arizona. For appointments, you can reach them via phone at (888) 987-1151. The mailing address for Archwell Health Professional Services Of Arizona, Llc is 102 Woodmont Blvd Ste 600, Nashville, Tennessee and phone number is () -.

Archwell Health Professional Services Of Arizona, Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1558026880. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (888) 987-1151.

Contact Information

Archwell Health Professional Services Of Arizona, Llc
4315 E Main St
Mesa
AZ 85205-8605
(888) 987-1151
Not Available

Map and Direction


Primary Care Clinic Profile

Full NameArchwell Health Professional Services Of Arizona, Llc
SpecialityInternal Medicine
Location4315 E Main St, Mesa, Arizona
Authorized Official Name and PositionLisa Lucas (CHIEF ADMINISTRATIVE OFFICER)
Authorized Official Contact6154199047
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Archwell Health Professional Services Of Arizona, Llc
102 Woodmont Blvd Ste 600
Nashville
TN 37205-5250

Ph: () -		Archwell Health Professional Services Of Arizona, Llc
4315 E Main St
Mesa
AZ 85205-8605

Ph: (888) 987-1151

NPI Details:

NPI Number1558026880
Provider Enumeration Date11/02/2021
Last Update Date04/05/2023

Medicare PECOS Information:

Medicare PECOS PAC ID9830566199
Medicare Enrollment IDO20221031001469

Medical Identifiers

Medical identifiers for Archwell Health Professional Services Of Arizona, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1558026880NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207QG0300XFamily Medicine - Geriatric Medicine (* (Not Available))Secondary
207R00000XInternal Medicine (* (Not Available))Primary
207RG0300XInternal Medicine - Geriatric Medicine (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Archwell Health Professional Services Of Arizona, Llc acts as a billing entity for following providers:
Provider NameDana M Kageyama
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1629034566
PECOS PAC ID: 1557310315
Enrollment ID: I20050119000347
Provider NameJay G Bernstein
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1649233396
PECOS PAC ID: 6800836818
Enrollment ID: I20050510000320
Provider NameMark C Luba
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1437139813
PECOS PAC ID: 4284668260
Enrollment ID: I20050920000280
Provider NameLori B Burke
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1699975508
PECOS PAC ID: 1052408465
Enrollment ID: I20071101000398
Provider NameMichael A Herrera
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1871610774
PECOS PAC ID: 5799850483
Enrollment ID: I20080814000358
Provider NameKim Susanne Morris
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1962464206
PECOS PAC ID: 0345309704
Enrollment ID: I20081030000555
Provider NameLeonardo C Serfino
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1831114743
PECOS PAC ID: 4587704499
Enrollment ID: I20091224000041
Provider NameMaria E Gonzalez Berlari
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1861665796
PECOS PAC ID: 3577606128
Enrollment ID: I20100204000067
Provider NameIram H Khan
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1740487719
PECOS PAC ID: 9739204041
Enrollment ID: I20100909001039
Provider NameGlenda G Williams
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1639379605
PECOS PAC ID: 3577713858
Enrollment ID: I20121023000050
Provider NameBharat Nepal
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1861809618
PECOS PAC ID: 8426274945
Enrollment ID: I20140718000977
Provider NameSonia M Bertram
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1043637424
PECOS PAC ID: 4385964436
Enrollment ID: I20150513002007
Provider NameKelly Woodrow
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1447632195
PECOS PAC ID: 3072821990
Enrollment ID: I20150925002333
Provider NameNorma Ann Bracamonte
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1851757603
PECOS PAC ID: 7911200613
Enrollment ID: I20160128002572
Provider NameChristina Marie Johansen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1912366279
PECOS PAC ID: 3476843665
Enrollment ID: I20160531001553
Provider NameRebecca Maree Hoover
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1457851826
PECOS PAC ID: 7113270414
Enrollment ID: I20181105000299
Provider NameAlessandra L Clark
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1942681143
PECOS PAC ID: 1850648775
Enrollment ID: I20190319000431
Provider NameKirstin Knobbe Lloyd
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1548615644
PECOS PAC ID: 3476827775
Enrollment ID: I20190327000349
Provider NameRoel Conrad Jamis
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1033419429
PECOS PAC ID: 7911138144
Enrollment ID: I20190714000014
Provider NameLeigh Anne Costanzo
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1932563392
PECOS PAC ID: 3971899246
Enrollment ID: I20190717003134
Provider NameSonja Jw Cruz
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1558719955
PECOS PAC ID: 9234426750
Enrollment ID: I20190801002779
Provider NameShana J Bean
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1538709761
PECOS PAC ID: 7214363290
Enrollment ID: I20200211001702
Provider NameLinda L Johnson
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1033182522
PECOS PAC ID: 9335109149
Enrollment ID: I20200901001523
Provider NameElena Aminov
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1992301923
PECOS PAC ID: 4688087331
Enrollment ID: I20210119002423
Provider NameMelinda Jones-saah
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1477078798
PECOS PAC ID: 2062778061
Enrollment ID: I20220218001745
Provider NameMarisela F Mariscal
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1063075836
PECOS PAC ID: 0042545493
Enrollment ID: I20221006001513
Provider NameLauren E Maxham
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1326347154
PECOS PAC ID: 1951521582
Enrollment ID: I20221206001737
Provider NameJennifer Winthers
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1568895415
PECOS PAC ID: 7810288214
Enrollment ID: I20221216000484
Provider NameRanilo Limcaoco Asuncion
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1639122815
PECOS PAC ID: 6305731209
Enrollment ID: I20230123001365
Provider NameSameera Ray
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1568199826
PECOS PAC ID: 0345611570
Enrollment ID: I20230125001798
Provider NameJacob Vanhouten
Provider TypePractitioner - Preventive Medicine
Provider IdentifiersNPI Number: 1821595083
PECOS PAC ID: 3173900727
Enrollment ID: I20230126000482
Provider NameZachary Logan
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1538521620
PECOS PAC ID: 9537431051
Enrollment ID: I20230127000480
Provider NameCora Lynn Tompkins
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1295892305
PECOS PAC ID: 9638130875
Enrollment ID: I20230127001083
Provider NameMonica C Reyes
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1477218600
PECOS PAC ID: 7214308394
Enrollment ID: I20230127001964
Provider NameSheryl S Allred
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1386697449
PECOS PAC ID: 6608247572
Enrollment ID: I20230201001486
Provider NameTesha Marie Hopphaus
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1588385884
PECOS PAC ID: 3678945235
Enrollment ID: I20230207002865
Provider NameKarina M Bailey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1699408492
PECOS PAC ID: 4183096399
Enrollment ID: I20230217000243
Provider NameJudith Ford
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1164495206
PECOS PAC ID: 7416029491
Enrollment ID: I20231020002302
Provider NameAnna Sokolowski
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1598057200
PECOS PAC ID: 3678890811
Enrollment ID: I20240313004351

Reviews and Comments


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Tripp Family Medicine, P.a.
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Phone: 480-830-7546    Fax: 480-830-7550

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.