| Mobileonedocs, Llc | |
|
10115 E Bell Rd #107-234 Scottsdale AZ 85260-2189 | |
| (888) 709-8721 | |
| (888) 709-8721 |
| Full Name | Mobileonedocs, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 10115 E Bell Rd, Scottsdale, Arizona |
| Authorized Official Name and Position | Lisa Ann Swansen (PRESIDEN) |
| Authorized Official Contact | 4808439877 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mobileonedocs, Llc 10115 E Bell Rd #107-234 Scottsdale AZ 85260-2189 Ph: (888) 709-8721 | Mobileonedocs, Llc 10115 E Bell Rd #107-234 Scottsdale AZ 85260-2189 Ph: (888) 709-8721 |
| NPI Number | 1629424379 |
|---|---|
| Provider Enumeration Date | 05/12/2016 |
| Last Update Date | 12/08/2020 |
| Medicare PECOS PAC ID | 3274825849 |
|---|---|
| Medicare Enrollment ID | O20160630001583 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629424379 | NPI | - | NPPES |
| Z190006 | Other | AZ | MEDICARE |
| 372018 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| Provider Name | Kenneth Lee Pettit |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1447296298 PECOS PAC ID: 4284616616 Enrollment ID: I20040609000852 |
| Provider Name | Tracey C Hedberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376790360 PECOS PAC ID: 6406924612 Enrollment ID: I20081001000181 |
| Provider Name | Michelle R Lamendola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760653836 PECOS PAC ID: 9335297746 Enrollment ID: I20090423000097 |
| Provider Name | Lisa Swansen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811298003 PECOS PAC ID: 7911195847 Enrollment ID: I20101220000653 |
| Provider Name | Billy Bravo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033389150 PECOS PAC ID: 5698954592 Enrollment ID: I20110125000334 |
| Provider Name | Nancy C Rosales |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013195171 PECOS PAC ID: 7012181852 Enrollment ID: I20111114000361 |
| Provider Name | Nancy Brewer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275885030 PECOS PAC ID: 8628213634 Enrollment ID: I20130322000149 |
| Provider Name | Anna J Hamernick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699102780 PECOS PAC ID: 7618106220 Enrollment ID: I20140130001825 |
| Provider Name | Glenda L Aguirre Kaiama |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952732380 PECOS PAC ID: 1254554439 Enrollment ID: I20140514002504 |
| Provider Name | Janet K Olson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629304639 PECOS PAC ID: 7416099262 Enrollment ID: I20160128000575 |
| Provider Name | Raymund Velasco |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730378316 PECOS PAC ID: 9931002102 Enrollment ID: I20160328001842 |
| Provider Name | Liban Osman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518403658 PECOS PAC ID: 7113209271 Enrollment ID: I20170125000897 |
| Provider Name | Michelle L Fulp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972782282 PECOS PAC ID: 0244300291 Enrollment ID: I20170403002356 |
| Provider Name | Erin E Phipps |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659819993 PECOS PAC ID: 9931486412 Enrollment ID: I20170510002255 |
| Provider Name | Vanessa Margaret Scheu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093218877 PECOS PAC ID: 2163778119 Enrollment ID: I20180703002980 |
| Provider Name | Carol Jean Simpson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447746011 PECOS PAC ID: 5193075562 Enrollment ID: I20180905002212 |
| Provider Name | Jamil Marie Bayless |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952865610 PECOS PAC ID: 3072854462 Enrollment ID: I20190412000229 |
| Provider Name | Rachel C Gable |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881172260 PECOS PAC ID: 6002140423 Enrollment ID: I20190618003499 |
| Provider Name | Kristin K Whitehead |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740755388 PECOS PAC ID: 6305177932 Enrollment ID: I20191014001721 |
| Provider Name | Razel Espiritu Hernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265096895 PECOS PAC ID: 4486086501 Enrollment ID: I20191112000142 |
| Provider Name | Yva Jean-marc |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083265516 PECOS PAC ID: 3476989039 Enrollment ID: I20200130002298 |
| Provider Name | Chelsea N Stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932755832 PECOS PAC ID: 9638508120 Enrollment ID: I20200403002712 |
| Provider Name | Janette E Trent |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699798967 PECOS PAC ID: 9537064084 Enrollment ID: I20200826000904 |
| Provider Name | Lupita Weatherwax |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720588486 PECOS PAC ID: 3375808975 Enrollment ID: I20201216002235 |
| Provider Name | Amy Alvis White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679112106 PECOS PAC ID: 3779995667 Enrollment ID: I20201217001941 |
| Provider Name | Marie Ekren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417415183 PECOS PAC ID: 7214336841 Enrollment ID: I20210601001940 |
| Provider Name | Kimberlie Mozes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720667454 PECOS PAC ID: 9830599257 Enrollment ID: I20210607001417 |
| Provider Name | Joaquin Jauregui |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720653488 PECOS PAC ID: 0941603104 Enrollment ID: I20210726001599 |
| Provider Name | Kimberley M Puthoff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437755246 PECOS PAC ID: 8426448002 Enrollment ID: I20211214002495 |
| Provider Name | Tiffany Ratliff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396318911 PECOS PAC ID: 1355722935 Enrollment ID: I20220713002327 |
| Provider Name | Raymond Dean Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669191623 PECOS PAC ID: 6406231893 Enrollment ID: I20220921002445 |
| Provider Name | Amber Lee Pantin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386363380 PECOS PAC ID: 1759758642 Enrollment ID: I20221107000461 |
| Provider Name | Nancy Mwania |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730681602 PECOS PAC ID: 5395083695 Enrollment ID: I20230227001526 |
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