| Legacy Wellness PLLC | |
|
19841 N 27th Ave Ste 204 Phoenix AZ 85027-4005 | |
| (623) 792-3584 | |
| Not Available |
| Full Name | Legacy Wellness PLLC |
|---|---|
| Speciality | Family Medicine |
| Location | 19841 N 27th Ave Ste 204, Phoenix, Arizona |
| Authorized Official Name and Position | Kristin Kelly (PROVIDER) |
| Authorized Official Contact | 6237923584 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Legacy Wellness PLLC Po Box 46 Peoria AZ 85380-0046 Ph: (623) 792-3584 | Legacy Wellness PLLC 19841 N 27th Ave Ste 204 Phoenix AZ 85027-4005 Ph: (623) 792-3584 |
| NPI Number | 1912731712 |
|---|---|
| Provider Enumeration Date | 08/26/2024 |
| Last Update Date | 08/26/2024 |
| Certification Date | 08/26/2024 |
| Medicare PECOS PAC ID | 9931686383 |
|---|---|
| Medicare Enrollment ID | O20260116000772 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912731712 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (NU) | Primary |
| Provider Name | Kristin Kelley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528821097 PECOS PAC ID: 4587005053 Enrollment ID: I20240515001226 |
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 |
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 |