| Novellus Health Llc | |
|
1138 N Oro Vis Litchfield Park AZ 85340-4548 | |
| (602) 888-2344 | |
| (480) 712-1305 |
| Full Name | Novellus Health Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1138 N Oro Vis, Litchfield Park, Arizona |
| Authorized Official Name and Position | Paul Kessler (OWNER) |
| Authorized Official Contact | 6028882344 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Novellus Health Llc 5115 N Dysart Rd Ste 202 Unit 193 Litchfield Park AZ 85340-3036 Ph: (602) 510-8627 | Novellus Health Llc 1138 N Oro Vis Litchfield Park AZ 85340-4548 Ph: (602) 888-2344 |
| NPI Number | 1457978967 |
|---|---|
| Provider Enumeration Date | 06/30/2020 |
| Last Update Date | 06/30/2020 |
| Medicare PECOS PAC ID | 4587089933 |
|---|---|
| Medicare Enrollment ID | O20200803001808 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457978967 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QB0002X | Family Medicine - Obesity Medicine | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Teresa Marie Gaither |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568835890 PECOS PAC ID: 9931480985 Enrollment ID: I20170105000804 |
| Provider Name | Bernadette Rojvanit |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104487735 PECOS PAC ID: 2769815729 Enrollment ID: I20210428000539 |
| Provider Name | Stella Simone Bernard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508457359 PECOS PAC ID: 9436568334 Enrollment ID: I20210505002005 |
| Provider Name | Cassie Lynn Pettit |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396314894 PECOS PAC ID: 4981071628 Enrollment ID: I20221109000718 |
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