| MD Medical Group | |
|
7500 N Dreamy Draw Dr Ste 211a Phoenix AZ 85020-4669 | |
| (602) 266-9971 | |
| (602) 266-9968 |
| Full Name | MD Medical Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 7500 N Dreamy Draw Dr Ste 211a, Phoenix, Arizona |
| Authorized Official Name and Position | Alisa Jeffcoat (ADMINISTRATOR) |
| Authorized Official Contact | 6022669971 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| MD Medical Group 7500 N Dreamy Draw Dr Ste 211a Phoenix AZ 85020-4669 Ph: (602) 266-9971 | MD Medical Group 7500 N Dreamy Draw Dr Ste 211a Phoenix AZ 85020-4669 Ph: (602) 266-9971 |
| NPI Number | 1508609017 |
|---|---|
| Provider Enumeration Date | 06/13/2024 |
| Last Update Date | 10/09/2026 |
| Certification Date | 10/09/2026 |
| Medicare PECOS PAC ID | 3173063658 |
|---|---|
| Medicare Enrollment ID | O20240911001190 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508609017 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (NU) | Primary |
| Provider Name | James B Vogt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740332352 PECOS PAC ID: 8921991142 Enrollment ID: I20040224000307 |
| Provider Name | Diane M Olea-del Rio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104253210 PECOS PAC ID: 7517289705 Enrollment ID: I20141124002507 |
| Provider Name | Kristina a Mckinzie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306569090 PECOS PAC ID: 0244768406 Enrollment ID: I20250115003106 |
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