| Dewey Medical Center | |
|
3777 Crossings Dr Prescott AZ 86305-7121 | |
| (623) 934-5600 | |
| (623) 934-5603 |
| Full Name | Dewey Medical Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 3777 Crossings Dr, Prescott, Arizona |
| Authorized Official Name and Position | Satwant Bhowra (ADMINISTRATOR) |
| Authorized Official Contact | 6239345600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dewey Medical Center Po Box 47729 Phoenix AZ 85068-7729 Ph: (623) 934-5600 | Dewey Medical Center 3777 Crossings Dr Prescott AZ 86305-7121 Ph: (623) 934-5600 |
| NPI Number | 1619998705 |
|---|---|
| Provider Enumeration Date | 07/22/2006 |
| Last Update Date | 11/18/2019 |
| Medicare PECOS PAC ID | 0840100608 |
|---|---|
| Medicare Enrollment ID | O20040116000332 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619998705 | NPI | - | NPPES |
| CK3166 | Other | AZ | RAIL ROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Michele M Peters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316965502 PECOS PAC ID: 5597726034 Enrollment ID: I20041025000911 |
| Provider Name | Ketan Jani |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1679575054 PECOS PAC ID: 5294789376 Enrollment ID: I20050912000852 |
| Provider Name | Mohammad-ali A El-harakeh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184829061 PECOS PAC ID: 5395815799 Enrollment ID: I20080528000137 |
| Provider Name | Onkar Bhowra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942306535 PECOS PAC ID: 8921918780 Enrollment ID: I20110615000830 |
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