| Optum Primary Care | |
|
1501 S Yale St Ste 150 Flagstaff AZ 86001-7337 | |
| (928) 527-4325 | |
| (928) 527-4327 |
| Full Name | Optum Primary Care |
|---|---|
| Speciality | Family Medicine |
| Location | 1501 S Yale St Ste 150, Flagstaff, Arizona |
| Authorized Official Name and Position | Emily Castillo (REGIONAL MANAGER) |
| Authorized Official Contact | 7024802550 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Optum Primary Care 3190 N Windsong Dr Prescott Valley AZ 86314-2239 Ph: (928) 800-5701 | Optum Primary Care 1501 S Yale St Ste 150 Flagstaff AZ 86001-7337 Ph: (928) 527-4325 |
| NPI Number | 1699724039 |
|---|---|
| Provider Enumeration Date | 05/10/2006 |
| Last Update Date | 09/02/2023 |
| Medicare PECOS PAC ID | 6608867197 |
|---|---|
| Medicare Enrollment ID | O20040522000252 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699724039 | NPI | - | NPPES |
| Provider Name | Meghan R Odonnell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659323186 PECOS PAC ID: 4385730753 Enrollment ID: I20080911000290 |
| Provider Name | Chad R Taylor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871937417 PECOS PAC ID: 1658660212 Enrollment ID: I20160520000884 |
| Provider Name | Mary C Porvaznik |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871582635 PECOS PAC ID: 9335310242 Enrollment ID: I20160901001417 |
| Provider Name | Angie Coil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700247509 PECOS PAC ID: 3476849522 Enrollment ID: I20161025001522 |
| Provider Name | Thomas D Wendel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750310355 PECOS PAC ID: 8325951163 Enrollment ID: I20181213003101 |
| Provider Name | Sunghoon Kim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114682481 PECOS PAC ID: 4981097490 Enrollment ID: I20220204002024 |
| Provider Name | Sari Fleischer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336430735 PECOS PAC ID: 3375936339 Enrollment ID: I20220215002192 |
| Provider Name | Kevin Daniel Thomas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730143637 PECOS PAC ID: 0941341028 Enrollment ID: I20220314002081 |
| Provider Name | Christina Sternesky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982283743 PECOS PAC ID: 4981003217 Enrollment ID: I20231108000953 |
North Country Healthcare-ponderosa Hs Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2384 N Steves Blvd, Flagstaff, AZ 86004 Phone: 928-522-9410 Fax: 928-522-9411 | |
Aspen Family Medicine Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2912 N West St, Flagstaff, AZ 86004 Phone: 928-774-3627 Fax: 927-774-1400 | |
Ryan Internal Medicine Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 107 E Oak Ave, Suite 202, Flagstaff, AZ 86001 Phone: 928-773-2560 Fax: 928-913-8835 | |
Vasco Healthcare Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 930 N Switzer Canyon Dr Ste 201, Flagstaff, AZ 86001 Phone: 602-346-0204 | |
Native Americans For Community Action, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1500 E Cedar Ave, Ste 26, Flagstaff, AZ 86004 Phone: 928-773-1245 Fax: 928-773-9429 | |
North Country Healthcare Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2920 N 4th St, Flagstaff, AZ 86004 Phone: 928-213-6121 Fax: 928-774-6687 | |
North Country Healthcare, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2920 N. 4th Street, Flagstaff, AZ 86004 Phone: 928-522-9400 Fax: 928-774-6687 |