| Emerald Care Pllc | |
|
5151 E Broadway Blvd Ste 1600 Tucson AZ 85711-3777 | |
| (520) 314-1545 | |
| (520) 300-7326 |
| Full Name | Emerald Care Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 5151 E Broadway Blvd Ste 1600, Tucson, Arizona |
| Authorized Official Name and Position | Cynthia Abrams (OWNER) |
| Authorized Official Contact | 5203141545 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Emerald Care Pllc 6890 E Sunrise Dr # 120-305 Tucson AZ 85750-0738 Ph: (520) 314-1545 | Emerald Care Pllc 5151 E Broadway Blvd Ste 1600 Tucson AZ 85711-3777 Ph: (520) 314-1545 |
| NPI Number | 1295234615 |
|---|---|
| Provider Enumeration Date | 02/12/2018 |
| Last Update Date | 03/19/2021 |
| Medicare PECOS PAC ID | 3375808637 |
|---|---|
| Medicare Enrollment ID | O20180607002079 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295234615 | NPI | - | NPPES |
| 380316 | Medicaid | AZ | |
| 1234567 | Other | VIRTUAL OFFICE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| Provider Name | Riemke M Brakema |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1497755326 PECOS PAC ID: 4486635141 Enrollment ID: I20040527001032 |
| Provider Name | Steven M Rayle |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1104826478 PECOS PAC ID: 3971551904 Enrollment ID: I20050106000666 |
| Provider Name | Melissa M Rasmussen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386671220 PECOS PAC ID: 7810937844 Enrollment ID: I20050509000831 |
| Provider Name | David W Robertson |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1164631792 PECOS PAC ID: 6103925680 Enrollment ID: I20070625000239 |
| Provider Name | Aura L Edmondson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972620318 PECOS PAC ID: 7517127004 Enrollment ID: I20120320000723 |
| Provider Name | Kathy Aprahamian Marquez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871935445 PECOS PAC ID: 8527296862 Enrollment ID: I20140114000763 |
| Provider Name | Glenda L Aguirre Kaiama |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952732380 PECOS PAC ID: 1254554439 Enrollment ID: I20140514002504 |
| Provider Name | Marie Ann Pond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215348867 PECOS PAC ID: 4385967058 Enrollment ID: I20150105000793 |
| Provider Name | Laura Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861893646 PECOS PAC ID: 7416274741 Enrollment ID: I20150326000791 |
| Provider Name | Jean A Marsalla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043293475 PECOS PAC ID: 0042587123 Enrollment ID: I20170519001537 |
| Provider Name | Laurel H Kittrell |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1922536549 PECOS PAC ID: 6103181383 Enrollment ID: I20190107000530 |
| Provider Name | Mikell B Karsten |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1235556481 PECOS PAC ID: 4183962509 Enrollment ID: I20190211001432 |
| Provider Name | Jessica N Repolda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790431740 PECOS PAC ID: 5496141202 Enrollment ID: I20220404002133 |
| Provider Name | Abdirahman J Abdi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497405229 PECOS PAC ID: 8022497726 Enrollment ID: I20220627003360 |
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