Atlas Medical Aco Llc - Medicare Primary Care in Mesa, AZ

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Atlas Medical Aco Llc is a medicare enrolled primary clinic (Clinic/center) in Mesa, Arizona. The current practice location for Atlas Medical Aco Llc is 7227 E Baseline Rd Ste 126, Mesa, Arizona. For appointments, you can reach them via phone at (480) 219-4790. The mailing address for Atlas Medical Aco Llc is Po Box 4682, Logan, Utah and phone number is () -.

Atlas Medical Aco Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1396573705. 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) 219-4790.

Contact Information

Atlas Medical Aco Llc
7227 E Baseline Rd Ste 126
Mesa
AZ 85209-5006
(480) 219-4790
Not Available

Map and Direction


Primary Care Clinic Profile

Full NameAtlas Medical Aco Llc
SpecialityClinic/Center
Location7227 E Baseline Rd Ste 126, Mesa, Arizona
Authorized Official Name and PositionGregory Chad Mangum (OWNER)
Authorized Official Contact4355145646
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Atlas Medical Aco Llc
Po Box 4682
Logan
UT 84323-4682

Ph: () -		Atlas Medical Aco Llc
7227 E Baseline Rd Ste 126
Mesa
AZ 85209-5006

Ph: (480) 219-4790

NPI Details:

NPI Number1396573705
Provider Enumeration Date07/25/2024
Last Update Date10/17/2024

Medicare PECOS Information:

Medicare PECOS PAC ID1456885227
Medicare Enrollment IDO20250416003928

Medical Identifiers

Medical identifiers for Atlas Medical Aco Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396573705NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261Q00000XClinic/center (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Atlas Medical Aco Llc acts as a billing entity for following providers:
Provider NameTheresa A Jacobsen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1689667883
PECOS PAC ID: 1759323751
Enrollment ID: I20050601000158
Provider NameJilanne Rose
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1912949041
PECOS PAC ID: 2062448699
Enrollment ID: I20050714000371
Provider NameCamille E Cox
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1164611000
PECOS PAC ID: 9032285895
Enrollment ID: I20080903000231
Provider NameAudrey M Bressor
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1942347554
PECOS PAC ID: 0345405742
Enrollment ID: I20120710000755
Provider NameNicole Dianne Strutzenberg
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1396096293
PECOS PAC ID: 2365692449
Enrollment ID: I20121025000758
Provider NameGina Madsen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1477521821
PECOS PAC ID: 4385650340
Enrollment ID: I20130129000603
Provider NameDarcel Randall
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1598168288
PECOS PAC ID: 6608190764
Enrollment ID: I20150120000801
Provider NameSusan Bast
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1851703862
PECOS PAC ID: 9335441484
Enrollment ID: I20160106000490
Provider NameMichael Tawadrous
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1972892339
PECOS PAC ID: 3577789163
Enrollment ID: I20170623001916
Provider NameSarah L. Davison
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1164917589
PECOS PAC ID: 4486903374
Enrollment ID: I20180827001895
Provider NameMary E Clifford
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1467615872
PECOS PAC ID: 6406086636
Enrollment ID: I20180829004002
Provider NameLeslie Lucile Mccartney
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1881189223
PECOS PAC ID: 5799022406
Enrollment ID: I20190201002264
Provider NameAshley L Archer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1609350271
PECOS PAC ID: 2365775699
Enrollment ID: I20190531000715
Provider NameRachel C Gable
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1881172260
PECOS PAC ID: 6002140423
Enrollment ID: I20190618003499
Provider NameKristin Pauline Meharry
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1720583685
PECOS PAC ID: 3274861463
Enrollment ID: I20190826004034
Provider NameAmber N Norris
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1760038855
PECOS PAC ID: 7416389754
Enrollment ID: I20191107001442
Provider NameSandra R Garner
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1134761240
PECOS PAC ID: 7618302613
Enrollment ID: I20200122001090
Provider NameRenee Marie Rundle
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1457990913
PECOS PAC ID: 6204262033
Enrollment ID: I20200214000235
Provider NameCathryn Ann Griepentrog
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1104402114
PECOS PAC ID: 6709289564
Enrollment ID: I20210730002339
Provider NameKeith A Podolak
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1568138527
PECOS PAC ID: 9739579707
Enrollment ID: I20211206001953
Provider NameStacy Rebecca Rummer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1235750258
PECOS PAC ID: 1153711122
Enrollment ID: I20211206002114
Provider NameAshley Nicolette Squier
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1912659251
PECOS PAC ID: 0042690950
Enrollment ID: I20220709000791
Provider NameBreanna Johnson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1760077093
PECOS PAC ID: 6305213679
Enrollment ID: I20221031001836
Provider NameDaniel Earl Couch
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1508211921
PECOS PAC ID: 2062708191
Enrollment ID: I20230119000317
Provider NameMariana Mounir Tawadrous
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1881639029
PECOS PAC ID: 5294790283
Enrollment ID: I20230320000280
Provider NameZakaria Tawadrous
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1336290444
PECOS PAC ID: 3577691757
Enrollment ID: I20230511003497
Provider NameJennifer Bann
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1952908121
PECOS PAC ID: 0244692069
Enrollment ID: I20230810003337
Provider NameMichelle Rae Rivera
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1174290910
PECOS PAC ID: 9931643269
Enrollment ID: I20240627003014
Provider NameAlana J Pilon
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669247151
PECOS PAC ID: 1658815600
Enrollment ID: I20240701002932

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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.