| Dr Kevin Chan Pc | |
|
12010 S Warner Elliot Loop Ste 1 Phoenix AZ 85044-2731 | |
| (480) 961-2366 | |
| (480) 961-2367 |
| Full Name | Dr Kevin Chan Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 12010 S Warner Elliot Loop Ste 1, Phoenix, Arizona |
| Authorized Official Name and Position | Kevin Yin Shun Chan (OWNER) |
| Authorized Official Contact | 4805778199 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kevin Chan Pc 12010 S Warner Elliot Loop Ste 1 Phoenix AZ 85044-2731 Ph: (480) 961-2366 | Dr Kevin Chan Pc 12010 S Warner Elliot Loop Ste 1 Phoenix AZ 85044-2731 Ph: (480) 961-2366 |
| NPI Number | 1063640977 |
|---|---|
| Provider Enumeration Date | 06/30/2009 |
| Last Update Date | 07/07/2022 |
| Medicare PECOS PAC ID | 3779638283 |
|---|---|
| Medicare Enrollment ID | O20090908000076 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063640977 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Kevin Y Chan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528014248 PECOS PAC ID: 2769434562 Enrollment ID: I20050218000866 |
| Provider Name | Jonne A Housh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285847210 PECOS PAC ID: 8224123559 Enrollment ID: I20071002000556 |
| Provider Name | Jennifer L Lopez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326496597 PECOS PAC ID: 5395019723 Enrollment ID: I20170922001815 |
| Provider Name | Kerry L Oliver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306341748 PECOS PAC ID: 9537575964 Enrollment ID: I20210310001719 |
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 |