Centerwell Senior Primary Care-maryvale - Medicare Primary Care in Phoenix, AZ

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Centerwell Senior Primary Care-maryvale is a medicare enrolled primary clinic (Internal Medicine) in Phoenix, Arizona. The current practice location for Centerwell Senior Primary Care-maryvale is 6544 W Thomas Rd Ste 11, Phoenix, Arizona. For appointments, you can reach them via phone at (602) 834-5515. The mailing address for Centerwell Senior Primary Care-maryvale is 4700 Millenia Blvd Ste 650, Orlando, Florida and phone number is (407) 447-7120.

Centerwell Senior Primary Care-maryvale is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1073260352. 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 (602) 834-5515.

Contact Information

Centerwell Senior Primary Care-maryvale
6544 W Thomas Rd Ste 11
Phoenix
AZ 85033-5740
(602) 834-5515
(877) 536-8279

Map and Direction


Primary Care Clinic Profile

Full NameCenterwell Senior Primary Care-maryvale
SpecialityInternal Medicine
Location6544 W Thomas Rd Ste 11, Phoenix, Arizona
Authorized Official Name and PositionAngie Martinez (SENIOR CREDENTIALING PROFESSIONAL)
Authorized Official Contact4074477120
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Centerwell Senior Primary Care-maryvale
4700 Millenia Blvd Ste 650
Orlando
FL 32839-6013

Ph: (407) 447-7120		Centerwell Senior Primary Care-maryvale
6544 W Thomas Rd Ste 11
Phoenix
AZ 85033-5740

Ph: (602) 834-5515

NPI Details:

NPI Number1073260352
Provider Enumeration Date03/07/2022
Last Update Date10/31/2022

Medicare PECOS Information:

Medicare PECOS PAC ID9830576354
Medicare Enrollment IDO20220521000136

Medical Identifiers

Medical identifiers for Centerwell Senior Primary Care-maryvale such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073260352NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Secondary
207R00000XInternal Medicine (* (Not Available))Primary
208D00000XGeneral Practice (* (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. Centerwell Senior Primary Care-maryvale acts as a billing entity for following providers:
Provider NameSatpreet Singh Gill
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1750487344
PECOS PAC ID: 3779503339
Enrollment ID: I20051129000384
Provider NameRichard Wolfson
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1497712475
PECOS PAC ID: 9537189873
Enrollment ID: I20051130000950
Provider NameRavinder R Dawke
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1275730780
PECOS PAC ID: 0042302028
Enrollment ID: I20070822000820
Provider NameMaria J Hoertz
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1104871607
PECOS PAC ID: 7315830601
Enrollment ID: I20080304000376
Provider NameChristine L Armenta
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1972752509
PECOS PAC ID: 3173674496
Enrollment ID: I20090626000467
Provider NameDorin T Popa
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1568621795
PECOS PAC ID: 8426228123
Enrollment ID: I20110908001633
Provider NamePrabhdeep Sandhu
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1831543883
PECOS PAC ID: 4385913482
Enrollment ID: I20170705003025
Provider NameLeslee Hamadeh
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1144728130
PECOS PAC ID: 3678835782
Enrollment ID: I20180328003071
Provider NameNeal Patrick Patalinghug
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1588697544
PECOS PAC ID: 6507996766
Enrollment ID: I20190417002849
Provider NameSabrina C Ramirez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1578031506
PECOS PAC ID: 0749515328
Enrollment ID: I20190718002725
Provider NameAaron T Saunders
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1902148208
PECOS PAC ID: 7113288895
Enrollment ID: I20201014001050
Provider NameDaniel E Isaac
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1528564564
PECOS PAC ID: 7012313232
Enrollment ID: I20210913002952
Provider NameThihalolipavan Sayalolipavan
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1053309039
PECOS PAC ID: 6709843600
Enrollment ID: I20220701000557
Provider NameKathy Derrick
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1689082174
PECOS PAC ID: 2264651256
Enrollment ID: I20220816003849
Provider NameJohn C Stanton
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1952806267
PECOS PAC ID: 9638577752
Enrollment ID: I20221026001537
Provider NameAshley Noel Olson
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1003486085
PECOS PAC ID: 9234501230
Enrollment ID: I20230220001476
Provider NameDiana I Elizalde
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1922661032
PECOS PAC ID: 8022342773
Enrollment ID: I20230614002803
Provider NameJayshree Arun Kumar Bhaskara
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1790771228
PECOS PAC ID: 9638265622
Enrollment ID: I20230703002554

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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.