Mulberry Medical LLC - Medicare Primary Care in Tempe, AZ

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Mulberry Medical LLC is a medicare enrolled primary clinic (Family Medicine) in Tempe, Arizona. The current practice location for Mulberry Medical LLC is 5801 S Mcclintock Dr Ste 104, Tempe, Arizona. For appointments, you can reach them via phone at (623) 220-2601. The mailing address for Mulberry Medical LLC is Po Box 51270, Mesa, Arizona and phone number is (623) 220-2601.

Mulberry Medical LLC is licensed to practice in (license number ). The clinic also participates in the medicare program and its NPI number is 1831980986. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (623) 220-2601.

Contact Information

Mulberry Medical LLC
5801 S Mcclintock Dr Ste 104
Tempe
AZ 85283-6002
(623) 220-2601
(623) 220-2602

Map and Direction


Primary Care Clinic Profile

Full NameMulberry Medical LLC
SpecialityFamily Medicine
Location5801 S Mcclintock Dr Ste 104, Tempe, Arizona
Authorized Official Name and PositionJoseph Furtado (PRESIDENT/CEO)
Authorized Official Contact6232202601
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mulberry Medical LLC
Po Box 51270
Mesa
AZ 85208-0064

Ph: (623) 220-2601		Mulberry Medical LLC
5801 S Mcclintock Dr Ste 104
Tempe
AZ 85283-6002

Ph: (623) 220-2601

NPI Details:

NPI Number1831980986
Provider Enumeration Date05/16/2025
Last Update Date05/27/2026
Certification Date05/27/2026

Medicare PECOS Information:

Medicare PECOS PAC ID2365954450
Medicare Enrollment IDO20250624003688

Medical Identifiers

Medical identifiers for Mulberry Medical LLC such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1831980986NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine ()Primary
207QH0002XFamily Medicine - Hospice And Palliative Medicine ()Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Mulberry Medical LLC acts as a billing entity for following providers:
Provider NameRebecca M Logue
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1962553347
PECOS PAC ID: 0446205405
Enrollment ID: I20050314000381
Provider NameSusan Mary Albright
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154354306
PECOS PAC ID: 8921073529
Enrollment ID: I20061204000008
Provider NameRonald Miller
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1588604797
PECOS PAC ID: 5193626406
Enrollment ID: I20100928001704
Provider NameLisa Swansen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1811298003
PECOS PAC ID: 7911195847
Enrollment ID: I20101220000653
Provider NameAjona D Olsen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1215089883
PECOS PAC ID: 9133395510
Enrollment ID: I20120106000143
Provider NameJoycelyn Connet
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1225377898
PECOS PAC ID: 3870732712
Enrollment ID: I20130625000533
Provider NameErik W Wagner
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1033129150
PECOS PAC ID: 0042450678
Enrollment ID: I20130717000168
Provider NameErin D Bond
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1780004424
PECOS PAC ID: 4981825197
Enrollment ID: I20141030002656
Provider NameJocelyn Ko
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1831478528
PECOS PAC ID: 7911129978
Enrollment ID: I20141107000912
Provider NameMelissa Lesaar
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1326454810
PECOS PAC ID: 2769604396
Enrollment ID: I20141113002216
Provider NameDiana Mccully
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1972973022
PECOS PAC ID: 5991002834
Enrollment ID: I20160321002023
Provider NameSean F Wolfort
Provider TypePractitioner - Plastic And Reconstructive Surgery
Provider IdentifiersNPI Number: 1477517712
PECOS PAC ID: 5294718565
Enrollment ID: I20160728002645
Provider NameAshleigh M Gage
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1407253248
PECOS PAC ID: 3678868304
Enrollment ID: I20160819001566
Provider NameMarcia S Mulcahey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1386670024
PECOS PAC ID: 9234266347
Enrollment ID: I20171027000943
Provider NamePreston F Ashby
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1992183198
PECOS PAC ID: 1355698572
Enrollment ID: I20180719001123
Provider NameJamil Marie Bayless
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1952865610
PECOS PAC ID: 3072854462
Enrollment ID: I20190412000229
Provider NameKimberly a Cannon
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558838896
PECOS PAC ID: 7315280781
Enrollment ID: I20190528002637
Provider NameLorna Millbourn
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1952740789
PECOS PAC ID: 6002058203
Enrollment ID: I20190716001376
Provider NameKelly a Ranahan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1316506561
PECOS PAC ID: 0446684450
Enrollment ID: I20191230000582
Provider NameChelsea N Stewart
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1932755832
PECOS PAC ID: 9638508120
Enrollment ID: I20200403002712
Provider NameMatthew Brian Mcauliffe
Provider TypePractitioner - Physical Medicine And Rehabilitation
Provider IdentifiersNPI Number: 1821388562
PECOS PAC ID: 7214242130
Enrollment ID: I20201130002102
Provider NameCharles Milton Combs
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1659991461
PECOS PAC ID: 9830506914
Enrollment ID: I20210408000866
Provider NameTarah Wood
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1174097299
PECOS PAC ID: 2264771740
Enrollment ID: I20210507002027
Provider NameRachel Pierre-chery
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1902207491
PECOS PAC ID: 5294144796
Enrollment ID: I20210513002034
Provider NameJohn C Griffin
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1235628033
PECOS PAC ID: 7315327988
Enrollment ID: I20220629002594
Provider NameJillana Michelle
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1740922038
PECOS PAC ID: 7911342803
Enrollment ID: I20240301001198
Provider NameKimberly Jenkins
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1760249247
PECOS PAC ID: 3870035843
Enrollment ID: I20240605002044
Provider NameAmberlyn June Plath
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891439592
PECOS PAC ID: 1658819339
Enrollment ID: I20240813001151
Provider NameBrandie a Baier
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1043045743
PECOS PAC ID: 4183156219
Enrollment ID: I20241015000982
Provider NameAndy Deetjeen
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1053038976
PECOS PAC ID: 7517493646
Enrollment ID: I20241211004757
Provider NameKristina a Mckinzie
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1306569090
PECOS PAC ID: 0244768406
Enrollment ID: I20250115003106
Provider NameParthiv Patel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1326845298
PECOS PAC ID: 1153847975
Enrollment ID: I20250424002439
Provider NameEmma Majaura
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1215373782
PECOS PAC ID: 5991945834
Enrollment ID: I20250515001413
Provider NameRandy Torres
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1821889585
PECOS PAC ID: 2062928237
Enrollment ID: I20250723003076
Provider NameCharles Henry Davis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891565669
PECOS PAC ID: 8921450602
Enrollment ID: I20250916000549
Provider NameEmily Lynne Perez
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1174374383
PECOS PAC ID: 1456846344
Enrollment ID: I20251218000843
Provider NameJohn E Trentin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1518671684
PECOS PAC ID: 0547748170
Enrollment ID: I20260203004327
Provider NameSameeha Khalid
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1114489705
PECOS PAC ID: 7012391006
Enrollment ID: I20260217003767
Provider NameJose Enrique Knox
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1801455712
PECOS PAC ID: 2264914688
Enrollment ID: I20260305000097

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.