| Malin Medical, Pllc | |
| 
					17301 E Spring Valley Rd Ste F Mayer AZ 86333-4263  | |
| (928) 632-4909 | |
| (928) 632-4973 | 
| Full Name | Malin Medical, Pllc | 
|---|---|
| Speciality | Family Medicine | 
| Location | 17301 E Spring Valley Rd Ste F, Mayer, Arizona | 
| Authorized Official Name and Position | Sue Denz (OWNER) | 
| Authorized Official Contact | 9287105851 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Malin Medical, Pllc 17301 E Spring Valley Rd Ste F Mayer AZ 86333-4263 Ph: (928) 632-4909  | Malin Medical, Pllc 17301 E Spring Valley Rd Ste F Mayer AZ 86333-4263 Ph: (928) 632-4909  | 
| NPI Number | 1265020127 | 
|---|---|
| Provider Enumeration Date | 01/06/2021 | 
| Last Update Date | 01/06/2021 | 
| Medicare PECOS PAC ID | 5496161259 | 
|---|---|
| Medicare Enrollment ID | O20210303001268 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1265020127 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary | 
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary | 
| Provider Name | Karen R Buntin | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1568582591 PECOS PAC ID: 0749244424 Enrollment ID: I20041112000591  | 
| Provider Name | Linda J Nelson | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1013291707 PECOS PAC ID: 2668496266 Enrollment ID: I20060123000490  | 
| Provider Name | Elizabeth Tarufelli | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1336162866 PECOS PAC ID: 0749285831 Enrollment ID: I20060923000053  | 
Black Canyon Medical L.l.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 17301 E Spring Valley Rd, Mayer, AZ 86333 Phone: 928-632-4909 Fax: 928-632-4973  | |
Carelock, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 20172 E Stagecoach Trl Ste B, Mayer, AZ 86333 Phone: 928-632-4399  |