| Pascua Yaqui Tribe | |
|
7490 S Camino De Oeste Tucson AZ 85746-9308 | |
| (520) 879-6000 | |
| (520) 879-6099 |
| Full Name | Pascua Yaqui Tribe |
|---|---|
| Speciality | Clinic/Center |
| Location | 7490 S Camino De Oeste, Tucson, Arizona |
| Authorized Official Name and Position | Reuben T. Howard (EXECUTIVE HEALTH DIRECTOR) |
| Authorized Official Contact | 5208796019 |
| 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 7490 S Camino De Oeste Tucson AZ 85746-9308 Ph: (520) 879-6000 |
| NPI Number | 1477868396 |
|---|---|
| Provider Enumeration Date | 08/16/2010 |
| Last Update Date | 08/16/2010 |
| Medicare PECOS PAC ID | 7618033598 |
|---|---|
| Medicare Enrollment ID | O20220120000627 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477868396 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | NONE 638 FACILITY (Arizona) | 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 |
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One Medical 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 | |
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Omo Ije's'a Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare 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 | |
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