| Grand West Family Practice And Wellness Llc | |
|
13000 N 103rd Ave Ste 77 Sun City AZ 85351-3057 | |
| (480) 284-5650 | |
| (480) 284-6431 |
| Full Name | Grand West Family Practice And Wellness Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 13000 N 103rd Ave Ste 77, Sun City, Arizona |
| Authorized Official Name and Position | Shelly Tellman (OWNER/MANAGER) |
| Authorized Official Contact | 6238245017 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Grand West Family Practice And Wellness Llc 13000 N 103rd Ave Ste 77 Sun City AZ 85351-3057 Ph: (480) 284-5650 | Grand West Family Practice And Wellness Llc 13000 N 103rd Ave Ste 77 Sun City AZ 85351-3057 Ph: (480) 284-5650 |
| NPI Number | 1740055599 |
|---|---|
| Provider Enumeration Date | 11/21/2023 |
| Last Update Date | 02/06/2024 |
| Medicare PECOS PAC ID | 8426493107 |
|---|---|
| Medicare Enrollment ID | O20240304003869 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740055599 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Shelly A Tellman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427393776 PECOS PAC ID: 4082867239 Enrollment ID: I20130121000207 |
Centerwell Senior Primary Care-sun City Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14813 N Del Webb Blvd, Sun City, AZ 85351 Phone: 602-834-5435 Fax: 877-536-8313 | |
Advent Healthcare Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10503 W Thunderbird Blvd, Suite 110, Sun City, AZ 85351 Phone: 623-974-2226 Fax: 623-977-1699 | |
Isha Gupta, M.d. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 14815 N Del Webb Blvd, Sun City, AZ 85351 Phone: 623-977-3300 Fax: 623-977-6808 | |
Independent Medical Care, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 10401 W Thunderbird Blvd, Sun City, AZ 85351 Phone: 623-974-6611 Fax: 623-974-9434 | |
Cannon Medical Clinic Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 13000 N 103rd Ave #97, Sun City, AZ 85351 Phone: 623-933-1337 Fax: 623-933-6109 | |
Kumar Ravi Md Facc Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 10503 W Thunderbird Blvd, Suite 103, Sun City, AZ 85351 Phone: 623-974-3649 Fax: 623-974-8364 | |
Upendra C Patel Md Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 13000 N 103rd Ave, Ste 79, Sun City, AZ 85351 Phone: 623-815-2424 Fax: 623-815-2699 |