| Desert Star Healthcare, LLC | |
|
4855 E Brown Rd Ste 100 Mesa AZ 85205-8007 | |
| (480) 219-6646 | |
| (480) 219-6647 |
| Full Name | Desert Star Healthcare, LLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 4855 E Brown Rd Ste 100, Mesa, Arizona |
| Authorized Official Name and Position | Deborah Lynn White (FNP-C, CO-OWNER) |
| Authorized Official Contact | 4802196646 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Desert Star Healthcare, LLC 4855 E Brown Rd Ste 100 Mesa AZ 85205-8007 Ph: (480) 219-6646 | Desert Star Healthcare, LLC 4855 E Brown Rd Ste 100 Mesa AZ 85205-8007 Ph: (480) 219-6646 |
| NPI Number | 1649859687 |
|---|---|
| Provider Enumeration Date | 04/06/2021 |
| Last Update Date | 08/25/2021 |
| Certification Date | 08/25/2021 |
| Medicare PECOS PAC ID | 3678985934 |
|---|---|
| Medicare Enrollment ID | O20210430001957 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649859687 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | () | Primary |
| Provider Name | Rachael L Buckley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215479829 PECOS PAC ID: 0042591455 Enrollment ID: I20161223000333 |
| Provider Name | Deborah Lynn White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669036034 PECOS PAC ID: 1850703117 Enrollment ID: I20201210002663 |
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