| Clark Medical and Post-acute Services, LLC | |
|
10810 N Tatum Blvd Ste 102-107 Phoenix AZ 85028-6055 | |
| (602) 568-4362 | |
| (602) 584-5955 |
| Full Name | Clark Medical and Post-acute Services, LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 10810 N Tatum Blvd Ste 102-107, Phoenix, Arizona |
| Authorized Official Name and Position | Randolph Clark (PRESIDENT) |
| Authorized Official Contact | 6025684362 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clark Medical and Post-acute Services, LLC 10810 N Tatum Blvd Ste 102-107 Phoenix AZ 85028-6055 Ph: (602) 568-4362 | Clark Medical and Post-acute Services, LLC 10810 N Tatum Blvd Ste 102-107 Phoenix AZ 85028-6055 Ph: (602) 568-4362 |
| NPI Number | 1437851417 |
|---|---|
| Provider Enumeration Date | 03/21/2023 |
| Last Update Date | 03/21/2023 |
| Certification Date | 03/20/2023 |
| Medicare PECOS PAC ID | 5991164402 |
|---|---|
| Medicare Enrollment ID | O20230630001989 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437851417 | NPI | - | NPPES |
| Provider Name | Vinee Srivastava |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720130628 PECOS PAC ID: 8628070687 Enrollment ID: I20070205000682 |
| Provider Name | John M Altic |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1124055637 PECOS PAC ID: 0941399141 Enrollment ID: I20071210000664 |
| Provider Name | Randolph Clark |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568456036 PECOS PAC ID: 7517916463 Enrollment ID: I20081203000150 |
| Provider Name | Angel M Frazier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306983226 PECOS PAC ID: 2062694417 Enrollment ID: I20110307000913 |
| Provider Name | Manju Krishnamenon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366733560 PECOS PAC ID: 2769650662 Enrollment ID: I20110720000378 |
| Provider Name | Jean N Stanley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548251630 PECOS PAC ID: 6800013319 Enrollment ID: I20140806002602 |
| Provider Name | Emily S Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396158408 PECOS PAC ID: 9739401654 Enrollment ID: I20141204000694 |
| Provider Name | Binu Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679012348 PECOS PAC ID: 1951685346 Enrollment ID: I20170302002217 |
| Provider Name | Josephine Bennion |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124496625 PECOS PAC ID: 9133373657 Enrollment ID: I20201112002147 |
| Provider Name | Susan Claire Anderson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1538623269 PECOS PAC ID: 7416093315 Enrollment ID: I20210114002318 |
| Provider Name | Natalie C Barajas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235024308 PECOS PAC ID: 6608389838 Enrollment ID: I20250701002767 |
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 |
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