| Centerwell Senior Primary Care Az Pc | |
|
6544 W Thomas Rd Ste 11 Phoenix AZ 85033-5740 | |
| (602) 834-5515 | |
| (877) 536-8279 |
| Full Name | Centerwell Senior Primary Care Az Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 6544 W Thomas Rd Ste 11, Phoenix, Arizona |
| Authorized Official Name and Position | Angie Martinez (SENIOR CREDENTIALING PROFESSIONAL) |
| Authorized Official Contact | 4074477120 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Centerwell Senior Primary Care Az Pc 6101 Blue Lagoon Dr Ste 200 Miami FL 33126-3168 Ph: (305) 500-2000 | Centerwell Senior Primary Care Az Pc 6544 W Thomas Rd Ste 11 Phoenix AZ 85033-5740 Ph: (602) 834-5515 |
| NPI Number | 1073260352 |
|---|---|
| Provider Enumeration Date | 03/07/2022 |
| Last Update Date | 08/19/2024 |
| Medicare PECOS PAC ID | 9830576354 |
|---|---|
| Medicare Enrollment ID | O20220521000136 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073260352 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Nestor N Nazareno |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386617629 PECOS PAC ID: 2860487303 Enrollment ID: I20050608000969 |
| Provider Name | Satpreet Singh Gill |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750487344 PECOS PAC ID: 3779503339 Enrollment ID: I20051129000384 |
| Provider Name | Richard Wolfson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497712475 PECOS PAC ID: 9537189873 Enrollment ID: I20051130000950 |
| Provider Name | Herminia G Herrera-tan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295812774 PECOS PAC ID: 6002919875 Enrollment ID: I20070315000233 |
| Provider Name | Ravinder R Dawke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275730780 PECOS PAC ID: 0042302028 Enrollment ID: I20070822000820 |
| Provider Name | Sanjay S Bommakanti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114111002 PECOS PAC ID: 9335233063 Enrollment ID: I20070925000628 |
| Provider Name | Maria J Hoertz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104871607 PECOS PAC ID: 7315830601 Enrollment ID: I20080304000376 |
| Provider Name | Christine L Armenta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972752509 PECOS PAC ID: 3173674496 Enrollment ID: I20090626000467 |
| Provider Name | Arpana G Tewari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689791741 PECOS PAC ID: 6901950682 Enrollment ID: I20090814000090 |
| Provider Name | Antonio V Yu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770564171 PECOS PAC ID: 1951306703 Enrollment ID: I20100831000656 |
| Provider Name | Benedict B Dayrit |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376617464 PECOS PAC ID: 8426040734 Enrollment ID: I20101022000322 |
| Provider Name | Vidya Raman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508810326 PECOS PAC ID: 6204020829 Enrollment ID: I20101027001428 |
| Provider Name | Maria T Reyes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467526558 PECOS PAC ID: 7416949722 Enrollment ID: I20101103001271 |
| Provider Name | Dorin T Popa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568621795 PECOS PAC ID: 8426228123 Enrollment ID: I20110908001633 |
| Provider Name | David J Berrey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568604593 PECOS PAC ID: 0446404842 Enrollment ID: I20130709000670 |
| Provider Name | Sharleen V Ballance |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235579079 PECOS PAC ID: 5799928404 Enrollment ID: I20130828000661 |
| Provider Name | Maria Victoria De Guzman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700254802 PECOS PAC ID: 2163731548 Enrollment ID: I20151026002450 |
| Provider Name | Prabhdeep Sandhu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831543883 PECOS PAC ID: 4385913482 Enrollment ID: I20170705003025 |
| Provider Name | Sahar S Zuberi |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1407291750 PECOS PAC ID: 2163748286 Enrollment ID: I20171013001026 |
| Provider Name | Leslee Hamadeh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144728130 PECOS PAC ID: 3678835782 Enrollment ID: I20180328003071 |
| Provider Name | Ajitha Nair |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558801522 PECOS PAC ID: 8729347802 Enrollment ID: I20181016001752 |
| Provider Name | Julia B Idemudia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356826341 PECOS PAC ID: 4486990934 Enrollment ID: I20190104000708 |
| Provider Name | Sherry Lynn Montoya-velasquez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366911059 PECOS PAC ID: 7214275080 Enrollment ID: I20190221000290 |
| Provider Name | Neal Patrick Patalinghug |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588697544 PECOS PAC ID: 6507996766 Enrollment ID: I20190417002849 |
| Provider Name | Sabrina C Ramirez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578031506 PECOS PAC ID: 0749515328 Enrollment ID: I20190718002725 |
| Provider Name | Guen Cecilia Tawagon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609415744 PECOS PAC ID: 5294161550 Enrollment ID: I20200204002443 |
| Provider Name | Aaron T Saunders |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902148208 PECOS PAC ID: 7113288895 Enrollment ID: I20201014001050 |
| Provider Name | Daniel E Isaac |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528564564 PECOS PAC ID: 7012313232 Enrollment ID: I20210913002952 |
| Provider Name | Thihalolipavan Sayalolipavan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053309039 PECOS PAC ID: 6709843600 Enrollment ID: I20220701000557 |
| Provider Name | John Stanton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952806267 PECOS PAC ID: 9638577752 Enrollment ID: I20221026001537 |
| Provider Name | Cyril Theresa Esguerra Gampol |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265158786 PECOS PAC ID: 2062889678 Enrollment ID: I20221110000141 |
| Provider Name | Ashley Noel Olson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003486085 PECOS PAC ID: 9234501230 Enrollment ID: I20230220001476 |
| Provider Name | Vanessa Porras |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902505647 PECOS PAC ID: 2163897844 Enrollment ID: I20230411001893 |
| Provider Name | Sheryl Mlapaz Chua |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679263164 PECOS PAC ID: 7416314257 Enrollment ID: I20230608003378 |
| Provider Name | Diana I Elizalde |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922661032 PECOS PAC ID: 8022342773 Enrollment ID: I20230614002803 |
| Provider Name | Jayshree Arun Kumar Bhaskara |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790771228 PECOS PAC ID: 9638265622 Enrollment ID: I20230703002554 |
| Provider Name | Lawrence Rothenberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104809367 PECOS PAC ID: 2961452552 Enrollment ID: I20230823002694 |
| Provider Name | Luna Amelingmeier |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1265839633 PECOS PAC ID: 3072817220 Enrollment ID: I20231201001858 |
| Provider Name | Weston Krauss |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154942068 PECOS PAC ID: 3274994736 Enrollment ID: I20241010003120 |
| Provider Name | Jaziel Llanes Hernandez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275113847 PECOS PAC ID: 7719411677 Enrollment ID: I20241114001966 |
| Provider Name | Maren Gavia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932905965 PECOS PAC ID: 9638691256 Enrollment ID: I20250324001082 |
| Provider Name | Holly Dee-ann Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073006045 PECOS PAC ID: 6709138514 Enrollment ID: I20250325002441 |
| Provider Name | Jason Jarvis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174010375 PECOS PAC ID: 0840728382 Enrollment ID: I20250425001601 |
Richard A. Snider, Md, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12010 S Warner Elliot Loop, Phoenix, AZ 85044 Phone: 480-893-2644 | |
Kelly H. Roy, Md, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1008 E Mcdowell Rd, Phoenix, AZ 85006 Phone: 602-358-8588 Fax: 602-688-6991 | |
My Family Doctor In The Valley Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11030 N Tatum Blvd, Ste 101, Phoenix, AZ 85028 Phone: 602-687-8265 | |
Deborah L Dykema Do Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 20045 N 19th Ave Bldg 9-151, Phoenix, AZ 85027 Phone: 602-978-1555 | |
Scottsdale Housecall Physicians, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11030 N Tatum Blvd Ste 101, Phoenix, AZ 85028 Phone: 602-687-8265 | |
Wings Of Hope Medical Services, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 11022 N 28th Dr Ste 205, Phoenix, AZ 85029 Phone: 602-971-0304 Fax: 602-971-0305 | |
Sheperd Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9150 W Indian School Rd Ste 111b, Phoenix, AZ 85037 Phone: 623-247-2300 Fax: 623-247-1939 |