| Pascua Yaqui Tribe | |
|
4567 W Tetakusim Rd Tucson AZ 85746-9713 | |
| (520) 879-6000 | |
| (520) 879-6099 |
| Full Name | Pascua Yaqui Tribe |
|---|---|
| Speciality | Clinic/Center |
| Location | 4567 W Tetakusim Rd, Tucson, Arizona |
| Authorized Official Name and Position | Linda Guerrero (DELEGATED OFFICIAL) |
| Authorized Official Contact | 5208796039 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pascua Yaqui Tribe 7490 S Camino De Oeste Tucson AZ 85746-9308 Ph: (520) 879-6000 | Pascua Yaqui Tribe 4567 W Tetakusim Rd Tucson AZ 85746-9713 Ph: (520) 879-6000 |
| NPI Number | 1477868396 |
|---|---|
| Provider Enumeration Date | 08/16/2010 |
| Last Update Date | 05/14/2025 |
| Medicare PECOS PAC ID | 7618033598 |
|---|---|
| Medicare Enrollment ID | O20220120000627 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477868396 | NPI | - | NPPES |
| 570192 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Adalberto Renteria |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619948502 PECOS PAC ID: 6305017914 Enrollment ID: I20220120001813 |
| Provider Name | Courtney Otto |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568757375 PECOS PAC ID: 6002290723 Enrollment ID: I20220830002348 |
| Provider Name | Riley L Pett |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1477906428 PECOS PAC ID: 3375838253 Enrollment ID: I20220908000692 |
| Provider Name | Sue Y Tham |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609833888 PECOS PAC ID: 7113942806 Enrollment ID: I20220909001365 |
| Provider Name | Joseph J Franzetti |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639246341 PECOS PAC ID: 5799720140 Enrollment ID: I20220929001997 |
| Provider Name | Yoendry Torres |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1588966022 PECOS PAC ID: 5698953453 Enrollment ID: I20221004000196 |
| Provider Name | Clare M Cory |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1972656064 PECOS PAC ID: 3476939836 Enrollment ID: I20221007002563 |
| Provider Name | Gouni Lakoso Bouraima |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427623990 PECOS PAC ID: 1153798210 Enrollment ID: I20221101003494 |
| Provider Name | Lori M Harger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831444710 PECOS PAC ID: 7113293366 Enrollment ID: I20221108001145 |
| Provider Name | David J Jendusa |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730257874 PECOS PAC ID: 6709832892 Enrollment ID: I20230325000008 |
| Provider Name | Tonya Baker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083035646 PECOS PAC ID: 9436381258 Enrollment ID: I20230422000328 |
| Provider Name | Alaina N Martinez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386271104 PECOS PAC ID: 4880076827 Enrollment ID: I20250108000033 |
Ironwood Gastroenterology Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 395 N Silverbell Rd Ste 265, Tucson, AZ 85745 Phone: 520-724-0559 Fax: 520-220-5115 | |
Sparcc Professional Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5199 E Farness Dr, Ste 101, Tucson, AZ 85712 Phone: 520-222-8076 Fax: 520-300-7156 | |
Iora Senior Health, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8616 E Broadway Blvd, Tucson, AZ 85710 Phone: 520-468-4809 Fax: 520-254-6016 | |
Total Care Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 941 N 11th Ave, Tucson, AZ 85705 Phone: 517-294-1835 | |
Omo Ijesa Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7309 E 28th St, Tucson, AZ 85710 Phone: 510-345-8981 Fax: 520-253-7229 | |
James R Boyed Md Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6548 E Carondelet Dr Bldg E, Tucson, AZ 85710 Phone: 520-298-2319 Fax: 520-298-7811 | |
Northwest Allied Physicians Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6060 N Fountain Plaza Dr Ste 270, Tucson, AZ 85704 Phone: 520-229-2578 Fax: 520-229-2561 |