| Edicine Im Pllc | |
|
34597 N 60th St Suite 110 Scottsdale AZ 85266-5240 | |
| (480) 488-8020 | |
| (480) 264-6404 |
| Full Name | Edicine Im Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 34597 N 60th St, Scottsdale, Arizona |
| Authorized Official Name and Position | Andrew E Morrison (OWNER/PHYSICIAN) |
| Authorized Official Contact | 4804888020 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Edicine Im Pllc 34597 N 60th St Suite 110 Scottsdale AZ 85266-5240 Ph: (480) 488-8020 | Edicine Im Pllc 34597 N 60th St Suite 110 Scottsdale AZ 85266-5240 Ph: (480) 488-8020 |
| NPI Number | 1013313691 |
|---|---|
| Provider Enumeration Date | 11/10/2014 |
| Last Update Date | 03/07/2023 |
| Medicare PECOS PAC ID | 3678875739 |
|---|---|
| Medicare Enrollment ID | O20160106000892 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013313691 | NPI | - | NPPES |
| 250001255 | Medicaid | NV | |
| 23857 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 4284 (Arizona) | Primary |
| Provider Name | Andrew E Morrison |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003830555 PECOS PAC ID: 9830093020 Enrollment ID: I20050818001058 |
| Provider Name | Tory M Ford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538603261 PECOS PAC ID: 6901189703 Enrollment ID: I20170201000939 |
| Provider Name | Loren A Lawrence |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487136685 PECOS PAC ID: 0143556407 Enrollment ID: I20190724000990 |
| Provider Name | Lisa Michelle Lloyd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316497563 PECOS PAC ID: 6002196789 Enrollment ID: I20210302002673 |
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