| Bmi423i | |
|
412 Whipple St Prescott AZ 86301-1712 | |
| (480) 788-5621 | |
| (480) 779-1277 |
| Full Name | Bmi423i |
|---|---|
| Speciality | Family Medicine |
| Location | 412 Whipple St, Prescott, Arizona |
| Authorized Official Name and Position | Thuy Nguyen (MANAGER) |
| Authorized Official Contact | 6024928606 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bmi423i 412 Whipple St Prescott AZ 86301-1712 Ph: (480) 788-5621 | Bmi423i 412 Whipple St Prescott AZ 86301-1712 Ph: (480) 788-5621 |
| NPI Number | 1407683162 |
|---|---|
| Provider Enumeration Date | 09/17/2024 |
| Last Update Date | 11/24/2025 |
| Medicare PECOS PAC ID | 2860927613 |
|---|---|
| Medicare Enrollment ID | O20241203001737 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407683162 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Brock A Merritt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619933942 PECOS PAC ID: 0244209823 Enrollment ID: I20040930000155 |
| Provider Name | Theresa M Hensler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386761484 PECOS PAC ID: 7416022728 Enrollment ID: I20080821000276 |
| Provider Name | Susan M Ward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255671780 PECOS PAC ID: 1557507308 Enrollment ID: I20130423000288 |
| Provider Name | Juan Lopez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326477134 PECOS PAC ID: 6305166398 Enrollment ID: I20150514001163 |
| Provider Name | Jyldyz Temirkan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497463715 PECOS PAC ID: 4082088844 Enrollment ID: I20230316002383 |
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