| Elite Medical Partners Pllc | |
|
20261 E Ocotillo Rd Ste 110 Queen Creek AZ 85142-8806 | |
| (480) 805-1444 | |
| (480) 677-2768 |
| Full Name | Elite Medical Partners Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 20261 E Ocotillo Rd Ste 110, Queen Creek, Arizona |
| Authorized Official Name and Position | Jillian Trulson (OWNER) |
| Authorized Official Contact | 4802276683 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elite Medical Partners Pllc 20261 E Ocotillo Rd Ste 110 Queen Creek AZ 85142-8806 Ph: (480) 805-1444 | Elite Medical Partners Pllc 20261 E Ocotillo Rd Ste 110 Queen Creek AZ 85142-8806 Ph: (480) 805-1444 |
| NPI Number | 1710599303 |
|---|---|
| Provider Enumeration Date | 08/17/2020 |
| Last Update Date | 07/22/2021 |
| Medicare PECOS PAC ID | 7416376991 |
|---|---|
| Medicare Enrollment ID | O20210112002593 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710599303 | NPI | - | NPPES |
| 14949926 | Other | CAQH | |
| 12763749 | Other | CAQH | |
| 1104324623 | Other | NPI |
| Provider Name | Harolyn C Gilles |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437478583 PECOS PAC ID: 1456484427 Enrollment ID: I20100728000988 |
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