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 (480) 870-7500. The mailing address for Archwell Health Professional Services of Arizona, LLC is 102 Woodmont Blvd Ste 600, Nashville, Tennessee.

Archwell Health Professional Services of Arizona, LLC is licensed to practice in (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 (480) 870-7500.

Contact Information

Archwell Health Professional Services of Arizona, LLC
4315 E Main St
Mesa
AZ 85205-8605
(480) 870-7500
(480) 906-2173

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 PositionAmy Moddesette (SR. DIRECTOR, MANAGED CARE OPS)
Authorized Official Contact6292241614
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
Archwell Health Professional Services of Arizona, LLC
4315 E Main St
Mesa
AZ 85205-8605

Ph: (480) 870-7500

NPI Details:

NPI Number1558026880
Provider Enumeration Date11/02/2021
Last Update Date03/11/2026
Certification Date03/11/2026

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 ()Secondary
207R00000XInternal Medicine ()Primary
207RG0300XInternal Medicine - Geriatric Medicine ()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 NameChristopher J Labban
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1134165848
PECOS PAC ID: 7618865791
Enrollment ID: I20040309001334
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 NameMegan Y Blackburn
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1457334450
PECOS PAC ID: 3072538222
Enrollment ID: I20051007000100
Provider NameHollis JC Underwood
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1770640369
PECOS PAC ID: 5496770141
Enrollment ID: I20051011001098
Provider NameParwin S Sadaat
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1487695243
PECOS PAC ID: 1759308935
Enrollment ID: I20060323000806
Provider NameTimothy C Bryan
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1831133743
PECOS PAC ID: 3577532878
Enrollment ID: I20060811000420
Provider NameLori B Burke
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1699975508
PECOS PAC ID: 1052408465
Enrollment ID: I20071101000398
Provider NameJulia a France
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1629230529
PECOS PAC ID: 5496828451
Enrollment ID: I20080724000036
Provider NameMichael a Herrera
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1871610774
PECOS PAC ID: 5799850483
Enrollment ID: I20080814000358
Provider NameSarah Louise Bivens
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1386653251
PECOS PAC ID: 7911067079
Enrollment ID: I20081119000222
Provider NamePatricia Lynn Higgins
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1447416847
PECOS PAC ID: 3678633765
Enrollment ID: I20081119000468
Provider NameTamara K Waldron
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1952555229
PECOS PAC ID: 2860559564
Enrollment ID: I20090325000146
Provider NameFrancene a Warner
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1932373693
PECOS PAC ID: 5294882593
Enrollment ID: I20090402000120
Provider NameLisa L Fuller
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1366567398
PECOS PAC ID: 8729052055
Enrollment ID: I20090921000559
Provider NameLeonardo C Serfino
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1831114743
PECOS PAC ID: 4587704499
Enrollment ID: I20091224000041
Provider NameNasrin Jazayeri
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1083776785
PECOS PAC ID: 5991805749
Enrollment ID: I20100115000008
Provider NameMaria E Gonzalez Berlari
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1861665796
PECOS PAC ID: 3577606128
Enrollment ID: I20100204000067
Provider NameRonald E Diaz
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124263561
PECOS PAC ID: 5395870471
Enrollment ID: I20100315000404
Provider NameIram H Khan
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1740487719
PECOS PAC ID: 9739204041
Enrollment ID: I20100909001039
Provider NameAngela C Kiselyk
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1912058694
PECOS PAC ID: 0446443295
Enrollment ID: I20101025000876
Provider NameDarlene M Mcmillon
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1225332216
PECOS PAC ID: 4587845052
Enrollment ID: I20110217000210
Provider NameChristina L Summers
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1821319872
PECOS PAC ID: 7113101098
Enrollment ID: I20110419000057
Provider NameKimberly Kay Kelch
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1639343742
PECOS PAC ID: 7214007590
Enrollment ID: I20110615000434
Provider NameTracy E Burton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1740566801
PECOS PAC ID: 2567638828
Enrollment ID: I20120109000316
Provider NameGlenda G Williams
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1639379605
PECOS PAC ID: 3577713858
Enrollment ID: I20121023000050
Provider NameCatherine Ulrickson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1821357427
PECOS PAC ID: 9335389717
Enrollment ID: I20130708000512
Provider NameElfat Rumman
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1811266208
PECOS PAC ID: 0345475463
Enrollment ID: I20131028000321
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 NameJennifer Ann Banek
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255785481
PECOS PAC ID: 2163721713
Enrollment ID: I20160503000769
Provider NameMclynda R Batterman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1336570514
PECOS PAC ID: 8325277700
Enrollment ID: I20160727002447
Provider NameCarrie Church
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1790231546
PECOS PAC ID: 9931476967
Enrollment ID: I20170523002387
Provider NameMatthew P Parker
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1861903809
PECOS PAC ID: 5799042529
Enrollment ID: I20171201001965
Provider NameEmelita L Cabilatazan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891275657
PECOS PAC ID: 5991042319
Enrollment ID: I20190123002971
Provider NameMichael a Hart
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548235773
PECOS PAC ID: 6002155108
Enrollment ID: I20190307002397
Provider NameAnna L Bell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1427528686
PECOS PAC ID: 7315287182
Enrollment ID: I20190314002065
Provider NameTroy Lance Passmore
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1528561016
PECOS PAC ID: 7012257488
Enrollment ID: I20190321000590
Provider NameAyin Daleth Hernandez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1619433489
PECOS PAC ID: 3476886888
Enrollment ID: I20190617002309
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 NameJorge Omar Flores Lopez
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1437507654
PECOS PAC ID: 8325379332
Enrollment ID: I20191004002785
Provider NameNneka Anuligo
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1245438878
PECOS PAC ID: 7517189848
Enrollment ID: I20191112002942
Provider NameAndres Gil
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1144681420
PECOS PAC ID: 0749588622
Enrollment ID: I20191204002198
Provider NameShana J Bean
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1538709761
PECOS PAC ID: 7214363290
Enrollment ID: I20200211001702
Provider NameLaura M Siegel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1861885469
PECOS PAC ID: 1557798964
Enrollment ID: I20200309000583
Provider NameLinda Johnson
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1033182522
PECOS PAC ID: 9335109149
Enrollment ID: I20200901001523
Provider NameAaron T Saunders
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1902148208
PECOS PAC ID: 7113288895
Enrollment ID: I20201014001050
Provider NameArturo Rodriguez Sanchez
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1891314761
PECOS PAC ID: 0648680231
Enrollment ID: I20201111000210
Provider NameMichael James Porter
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1053928374
PECOS PAC ID: 9931511888
Enrollment ID: I20201217000480
Provider NameElena Aminov
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1992301923
PECOS PAC ID: 4688087331
Enrollment ID: I20210119002423
Provider NameTayler Elizabeth Bitter
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1811516784
PECOS PAC ID: 4486060357
Enrollment ID: I20210302000639
Provider NameLeslie a Saeugling
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669070454
PECOS PAC ID: 7315354248
Enrollment ID: I20210322000684
Provider NameJules Lee
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255911384
PECOS PAC ID: 1658770169
Enrollment ID: I20210602002582
Provider NameEmily H Coston
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1174298707
PECOS PAC ID: 3476958539
Enrollment ID: I20210827000635
Provider NameJessica Valdez
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1073132940
PECOS PAC ID: 5597153510
Enrollment ID: I20211025001930
Provider NameMelinda Jones-saah
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1477078798
PECOS PAC ID: 2062778061
Enrollment ID: I20220218001745
Provider NameChance Allan Judd
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1154903896
PECOS PAC ID: 3678967825
Enrollment ID: I20220303002070
Provider NameLin Clark
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1396830477
PECOS PAC ID: 2163414129
Enrollment ID: I20220408001251
Provider NameYujie Shui
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1891352647
PECOS PAC ID: 3971984600
Enrollment ID: I20220713000585
Provider NameAntenor Xavier Aviles
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1528668720
PECOS PAC ID: 9032508569
Enrollment ID: I20220713002296
Provider NameAmie Cocoros
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1316502339
PECOS PAC ID: 8921483504
Enrollment ID: I20220918000042
Provider NameMichelle Jennings
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1104334077
PECOS PAC ID: 7810259488
Enrollment ID: I20220922002173
Provider NameKristen Michelle Molander
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1053755223
PECOS PAC ID: 8527463843
Enrollment ID: I20220928002892
Provider NameCuauhtemoc Gallardo-prado
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1700116605
PECOS PAC ID: 6204225436
Enrollment ID: I20221003001936
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 NameMonica C Reyes
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1477218600
PECOS PAC ID: 7214308394
Enrollment ID: I20230127001964
Provider NameAdriana Silva
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1093023970
PECOS PAC ID: 5294107132
Enrollment ID: I20230202001331
Provider NameKarina Bailey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1699408492
PECOS PAC ID: 4183096399
Enrollment ID: I20230217000243
Provider NameRamona a Krutzik
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1881779296
PECOS PAC ID: 3678556735
Enrollment ID: I20230301003002
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
Provider NameDeepthi Reddy Narala
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1811482284
PECOS PAC ID: 7810243771
Enrollment ID: I20240318003008
Provider NameTrevan R Sedlak
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1033470844
PECOS PAC ID: 3476859380
Enrollment ID: I20240328003191
Provider NameManuel a Reyes
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1245281708
PECOS PAC ID: 1658412507
Enrollment ID: I20240401002756
Provider NameIris Baccam
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1851853675
PECOS PAC ID: 1355727694
Enrollment ID: I20240624004381
Provider NameJeffrey Demoss
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1568487841
PECOS PAC ID: 5294860771
Enrollment ID: I20240812002582
Provider NameChristopher Withers
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1942221114
PECOS PAC ID: 2668456005
Enrollment ID: I20240812003429
Provider NameErik C Bakken
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1053791962
PECOS PAC ID: 4789126178
Enrollment ID: I20240815001448
Provider NameKhy Bradley
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1578137352
PECOS PAC ID: 2961804513
Enrollment ID: I20240821001511
Provider NameAmbreen Mohamed
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1437443637
PECOS PAC ID: 4183944788
Enrollment ID: I20240903002200
Provider NameNicolette Marie Miller
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255169314
PECOS PAC ID: 4183083686
Enrollment ID: I20240911002261
Provider NameOnna Lau
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1609372309
PECOS PAC ID: 0446508980
Enrollment ID: I20241016003314
Provider NameNikolay Denkov
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1780263954
PECOS PAC ID: 6507268273
Enrollment ID: I20241017001052
Provider NameErica Simmons
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1811713399
PECOS PAC ID: 2264969781
Enrollment ID: I20241223002044
Provider NameNaga Pannala
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1366673352
PECOS PAC ID: 2365743556
Enrollment ID: I20250210000412
Provider NameRamla Abbas
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1982193785
PECOS PAC ID: 1951641331
Enrollment ID: I20250226002746
Provider NameBinita Chandran
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1487941944
PECOS PAC ID: 9234352329
Enrollment ID: I20250227000132
Provider NameAisha Ambreen Yusuf
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1811632227
PECOS PAC ID: 9537669874
Enrollment ID: I20250821004014
Provider NameMatthew Bell
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1073244323
PECOS PAC ID: 6901306117
Enrollment ID: I20250822000979
Provider NameDonald Goddard
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1134229412
PECOS PAC ID: 4486648664
Enrollment ID: I20250909001449
Provider NameJeffrey Culpepper
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1245222637
PECOS PAC ID: 2567586308
Enrollment ID: I20250923002316
Provider NameMaria Arganoza-priess
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1336179415
PECOS PAC ID: 3971508532
Enrollment ID: I20251016003395
Provider NameGeorge Adesina
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1457642647
PECOS PAC ID: 4981912086
Enrollment ID: I20251022002377
Provider NamePraseeda Akella
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1396495503
PECOS PAC ID: 2062896715
Enrollment ID: I20251024004052
Provider NameJonathan Li
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1780667709
PECOS PAC ID: 5092964999
Enrollment ID: I20251202003760
Provider NameKunal Gurav
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1033434576
PECOS PAC ID: 1254623036
Enrollment ID: I20251202003911
Provider NameCecile King
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1114361748
PECOS PAC ID: 7517180359
Enrollment ID: I20251203003724
Provider NameAnjori Dunbar
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1720387269
PECOS PAC ID: 4587962329
Enrollment ID: I20260302000549
Provider NameRandal Cieslak
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1790168300
PECOS PAC ID: 3072933415
Enrollment ID: I20260323002683
Provider NameRamesh Venkataraman
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1043458052
PECOS PAC ID: 3476821950
Enrollment ID: I20260324002009
Provider NameRachelle Petika
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1639518962
PECOS PAC ID: 2062642606
Enrollment ID: I20260331002367
Provider NameCassidy E Pattik
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1396278719
PECOS PAC ID: 0749550432
Enrollment ID: I20260415003347
Provider NameNatasha Harrison
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1770756173
PECOS PAC ID: 2365580461
Enrollment ID: I20260415003646
Provider NameCollin Doherty
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1710636238
PECOS PAC ID: 8426436809
Enrollment ID: I20260422000236
Provider NameAshley Vallesarmand
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1760124002
PECOS PAC ID: 8325428170
Enrollment ID: I20260520002852
Provider NameAhmad Shahzad
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1982983557
PECOS PAC ID: 0648443440
Enrollment ID: I20260520003958
Provider NameMarites Tulabot Estrada
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1720890775
PECOS PAC ID: 2769953330
Enrollment ID: I20260604001113

Reviews and Comments

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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.