| East Mesa Family Doctors Pllc | |
|
7165 E University Dr Ste 101 Mesa AZ 85207-6400 | |
| (480) 999-0049 | |
| (866) 918-8525 |
| Full Name | East Mesa Family Doctors Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 7165 E University Dr Ste 101, Mesa, Arizona |
| Authorized Official Name and Position | Stacy Deann Veldhuizen Mickey (MD/OWNER) |
| Authorized Official Contact | 4809990049 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| East Mesa Family Doctors Pllc 7165 E University Dr Ste 101 Mesa AZ 85207-6400 Ph: (480) 999-0049 | East Mesa Family Doctors Pllc 7165 E University Dr Ste 101 Mesa AZ 85207-6400 Ph: (480) 999-0049 |
| NPI Number | 1508310665 |
|---|---|
| Provider Enumeration Date | 08/06/2016 |
| Last Update Date | 12/14/2022 |
| Medicare PECOS PAC ID | 0143517219 |
|---|---|
| Medicare Enrollment ID | O20160919000651 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508310665 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Arizona) | Primary |
| Provider Name | Stacy D Veldhuizen Mickey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760449490 PECOS PAC ID: 8628047354 Enrollment ID: I20040929001046 |
| Provider Name | Nicholas J Caputo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609867829 PECOS PAC ID: 8224064845 Enrollment ID: I20050714000299 |
| Provider Name | Michael A Herrera |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871610774 PECOS PAC ID: 5799850483 Enrollment ID: I20080814000358 |
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