| Pathway Health & Wellness | |
|
1933 W Main St Ste 1 Mesa AZ 85201-6930 | |
| (480) 283-5330 | |
| Not Available |
| Full Name | Pathway Health & Wellness |
|---|---|
| Speciality | Family Medicine |
| Location | 1933 W Main St Ste 1, Mesa, Arizona |
| Authorized Official Name and Position | Rachel Songmin Carroll (OWNER) |
| Authorized Official Contact | 4802835330 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pathway Health & Wellness 1345 S Corrine Dr Gilbert AZ 85296-4154 Ph: (480) 283-5330 | Pathway Health & Wellness 1933 W Main St Ste 1 Mesa AZ 85201-6930 Ph: (480) 283-5330 |
| NPI Number | 1376220368 |
|---|---|
| Provider Enumeration Date | 06/30/2023 |
| Last Update Date | 08/09/2023 |
| Certification Date | 08/09/2023 |
| Medicare PECOS PAC ID | 6507228343 |
|---|---|
| Medicare Enrollment ID | O20230810004022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376220368 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | Rachel Songmin Carroll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427764000 PECOS PAC ID: 7315309150 Enrollment ID: I20230810004058 |
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