| Casa De La Luz Palliative Care | |
|
1840 S Stapley Dr Ste 225b Mesa AZ 85204-6685 | |
| (480) 801-2416 | |
| (480) 801-2417 |
| Full Name | Casa De La Luz Palliative Care |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 1840 S Stapley Dr Ste 225b, Mesa, Arizona |
| Authorized Official Name and Position | Joshua L Proffitt (PRESIDENT) |
| Authorized Official Contact | 3372331307 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Casa De La Luz Palliative Care Po Box 51266 Lafayette LA 70505-1266 Ph: (337) 233-1307 | Casa De La Luz Palliative Care 1840 S Stapley Dr Ste 225b Mesa AZ 85204-6685 Ph: (480) 801-2416 |
| NPI Number | 1407458532 |
|---|---|
| Provider Enumeration Date | 11/13/2020 |
| Last Update Date | 02/05/2025 |
| Certification Date | 02/05/2025 |
| Medicare PECOS PAC ID | 7416365580 |
|---|---|
| Medicare Enrollment ID | O20210410000008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407458532 | NPI | - | NPPES |
| Provider Name | Brian D Dedinsky |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730238106 PECOS PAC ID: 0941235980 Enrollment ID: I20050928001293 |
| Provider Name | Rachel J Schmidt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154772721 PECOS PAC ID: 7113214826 Enrollment ID: I20160923001128 |
| Provider Name | Daniel Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063127231 PECOS PAC ID: 3870946056 Enrollment ID: I20240124003761 |
| Provider Name | Kendra Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487469169 PECOS PAC ID: 7416476064 Enrollment ID: I20250527003122 |
Ohana Kids & Family Kare LLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3130 E Baseline Rd Ste 103, Mesa, AZ 85204 Phone: 480-539-7618 Fax: 480-900-8884 |
Dedicated Internal Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1134 E University Dr Ste 111, Mesa, AZ 85203 Phone: 480-398-1220 Fax: 480-398-1238 |
Mgt MD at Home Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7117 E Peralta Cir, Mesa, AZ 85212 Phone: 480-430-0721 |
Stillpoint Wellness, LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2266 S Dobson Rd Ste 200, Mesa, AZ 85202 Phone: 480-280-1996 Fax: 602-532-7649 |
Voyage Medical Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1130 W Grove Ave Ste 115, Mesa, AZ 85210 Phone: 480-685-0930 |
Tripp Family Medicine, P.A. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2830 E Brown Rd, Suite 1, Mesa, AZ 85213 Phone: 480-830-7546 Fax: 480-830-7550 |