| Mary Pasternacki Family Healthcare | |
|
1016 W University Ave Suite 206 Flagstaff AZ 86001-2994 | |
| (928) 266-1530 | |
| (928) 226-1531 |
| Full Name | Mary Pasternacki Family Healthcare |
|---|---|
| Speciality | Family Medicine |
| Location | 1016 W University Ave, Flagstaff, Arizona |
| Authorized Official Name and Position | Mary A Pasternacki (OWNER) |
| Authorized Official Contact | 9286000640 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Pasternacki Family Healthcare 1016 W University Ave Suite 206 Flagstaff AZ 86001-2994 Ph: (928) 266-1530 | Mary Pasternacki Family Healthcare 1016 W University Ave Suite 206 Flagstaff AZ 86001-2994 Ph: (928) 266-1530 |
| NPI Number | 1972965051 |
|---|---|
| Provider Enumeration Date | 03/28/2016 |
| Last Update Date | 06/09/2016 |
| Medicare PECOS PAC ID | 9638469240 |
|---|---|
| Medicare Enrollment ID | O20160609000702 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972965051 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Mary Ann Pasternacki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275690331 PECOS PAC ID: 0840258232 Enrollment ID: I20050103000211 |
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