Desert Grove Family Medical - Medicare Primary Care in Mesa, AZ

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Desert Grove Family Medical is a medicare enrolled primary clinic (Family Medicine) in Mesa, Arizona. The current practice location for Desert Grove Family Medical is 840 E Mckellips Rd, Ste 101, Mesa, Arizona. For appointments, you can reach them via phone at (480) 834-7546. The mailing address for Desert Grove Family Medical is Po Box 844776, Dallas, Texas and phone number is (480) 834-7546.

Desert Grove Family Medical is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1093764938. 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) 834-7546.

Contact Information

Desert Grove Family Medical
840 E Mckellips Rd
Ste 101
Mesa
AZ 85203-9645
(480) 834-7546
(480) 834-8001

Map and Direction


Primary Care Clinic Profile

Full NameDesert Grove Family Medical
SpecialityFamily Medicine
Location840 E Mckellips Rd, Mesa, Arizona
Authorized Official Name and PositionMichelle Dinsdale (DIRECTOR OF OPERATIONS)
Authorized Official Contact4808347546
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Desert Grove Family Medical
Po Box 844776
Dallas
TX 75284-4776

Ph: (480) 834-7546		Desert Grove Family Medical
840 E Mckellips Rd
Ste 101
Mesa
AZ 85203-9645

Ph: (480) 834-7546

NPI Details:

NPI Number1093764938
Provider Enumeration Date05/09/2006
Last Update Date07/17/2014

Medicare PECOS Information:

Medicare PECOS PAC ID5193628485
Medicare Enrollment IDO20040526000631

Medical Identifiers

Medical identifiers for Desert Grove Family Medical such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093764938NPI-NPPES
633795MedicaidAZ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (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. Desert Grove Family Medical acts as a billing entity for following providers:
Provider NameAllison K Kaplan
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1962463844
PECOS PAC ID: 9739175571
Enrollment ID: I20040426000369
Provider NameRichard J Dinsdale
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1487617718
PECOS PAC ID: 7517948466
Enrollment ID: I20040630000452
Provider NameLinda L Lau
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1710940705
PECOS PAC ID: 9638101454
Enrollment ID: I20050901000129
Provider NameDenise R Sackett
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1730163361
PECOS PAC ID: 7113946187
Enrollment ID: I20051118000356
Provider NameJeffrey A Levison
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1467405894
PECOS PAC ID: 4486660974
Enrollment ID: I20060221000420
Provider NameRachel S Erdmann
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1437383874
PECOS PAC ID: 8022168293
Enrollment ID: I20090721000037
Provider NameMary M Winscott
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1952324030
PECOS PAC ID: 8224080437
Enrollment ID: I20101102001134
Provider NameLisa Marie Eckerson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1689981177
PECOS PAC ID: 2466640453
Enrollment ID: I20101216001041
Provider NameKristen Lyn Robinson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1447545645
PECOS PAC ID: 8527237569
Enrollment ID: I20110809000606
Provider NameJennifer M Slonaker
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1326310020
PECOS PAC ID: 8921256959
Enrollment ID: I20120918000216
Provider NameDonald J White
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1558504357
PECOS PAC ID: 5799934212
Enrollment ID: I20120927000172
Provider NameHeather M Hodnett
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1932444304
PECOS PAC ID: 5799921177
Enrollment ID: I20130410000309
Provider NameAnnette A Lusko
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1487918181
PECOS PAC ID: 9335394600
Enrollment ID: I20150819008305
Provider NameRobert M Ellis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1902284599
PECOS PAC ID: 6608183637
Enrollment ID: I20150923001599
Provider NameTravis Warren Fisher
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1366536732
PECOS PAC ID: 1153463997
Enrollment ID: I20161014001165
Provider NameBrian William Goodman
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1497165732
PECOS PAC ID: 2668754722
Enrollment ID: I20170125000932
Provider NameBenjamin Ihms
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1588076046
PECOS PAC ID: 6002193448
Enrollment ID: I20170511002226
Provider NameSteven K Perez
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1730528688
PECOS PAC ID: 4284905860
Enrollment ID: I20170731002422
Provider NameMohammad K Dardari
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1467405357
PECOS PAC ID: 9436106572
Enrollment ID: I20180420000699
Provider NameFaith Ann Phillips
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1003397571
PECOS PAC ID: 2365796547
Enrollment ID: I20181107002597
Provider NameRobert Babbel
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1134575384
PECOS PAC ID: 8426302498
Enrollment ID: I20181109000352
Provider NameDana S Farris
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1033214200
PECOS PAC ID: 3971609595
Enrollment ID: I20190329001670
Provider NameAlbert Hsia
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1518313196
PECOS PAC ID: 5890037295
Enrollment ID: I20190506001536
Provider NameSahan Joseph Emmanuel
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1245686872
PECOS PAC ID: 3678816857
Enrollment ID: I20190510002107
Provider NameTyler John Williams
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1801321344
PECOS PAC ID: 1658794003
Enrollment ID: I20200702000579
Provider NameSusan Kathleen Gerold-terraza
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1467115246
PECOS PAC ID: 8426441320
Enrollment ID: I20220623001450
Provider NameKatie Marie Andrusaitis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1922735521
PECOS PAC ID: 5597149724
Enrollment ID: I20221007001030
Provider NameAmanda Grace Sessions
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1346709318
PECOS PAC ID: 0840694030
Enrollment ID: I20230530003462

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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.