| Family Tree Healthcare Llc | |
|
7002 S Central Ave Phoenix AZ 85042-5423 | |
| (602) 449-4221 | |
| (602) 268-6298 |
| Full Name | Family Tree Healthcare Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 7002 S Central Ave, Phoenix, Arizona |
| Authorized Official Name and Position | Hector Reyes (PRESIDENT CLINIC OPERATIONS) |
| Authorized Official Contact | 6024994221 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Tree Healthcare Llc 7002 S Central Ave Phoenix AZ 85042-5423 Ph: (602) 449-4221 | Family Tree Healthcare Llc 7002 S Central Ave Phoenix AZ 85042-5423 Ph: (602) 449-4221 |
| NPI Number | 1336500636 |
|---|---|
| Provider Enumeration Date | 03/14/2016 |
| Last Update Date | 05/07/2025 |
| Medicare PECOS PAC ID | 7517240567 |
|---|---|
| Medicare Enrollment ID | O20170216002682 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336500636 | NPI | - | NPPES |
| 028879 | Medicaid | AZ | |
| 854053 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Edmond L Baker |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235304171 PECOS PAC ID: 1850444233 Enrollment ID: I20100114000343 |
| Provider Name | Delana Gardner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497181705 PECOS PAC ID: 8729207725 Enrollment ID: I20140923001992 |
| Provider Name | Lawanda M Dupree |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760874168 PECOS PAC ID: 7315259769 Enrollment ID: I20150629000436 |
| Provider Name | Elicia B Hinton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922644012 PECOS PAC ID: 3971920562 Enrollment ID: I20200827001637 |
Richard A. Snider, Md, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12010 S Warner Elliot Loop, Phoenix, AZ 85044 Phone: 480-893-2644 | |
Kelly H. Roy, Md, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1008 E Mcdowell Rd, Phoenix, AZ 85006 Phone: 602-358-8588 Fax: 602-688-6991 | |
My Family Doctor In The Valley Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11030 N Tatum Blvd, Ste 101, Phoenix, AZ 85028 Phone: 602-687-8265 | |
Deborah L Dykema Do Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 20045 N 19th Ave Bldg 9-151, Phoenix, AZ 85027 Phone: 602-978-1555 | |
Scottsdale Housecall Physicians, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11030 N Tatum Blvd Ste 101, Phoenix, AZ 85028 Phone: 602-687-8265 | |
Wings Of Hope Medical Services, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 11022 N 28th Dr Ste 205, Phoenix, AZ 85029 Phone: 602-971-0304 Fax: 602-971-0305 | |
Sheperd Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9150 W Indian School Rd Ste 111b, Phoenix, AZ 85037 Phone: 623-247-2300 Fax: 623-247-1939 |