| Total Point Prescott Medical | |
|
3124 Willow Creek Rd Prescott AZ 86301-6610 | |
| (923) 445-7085 | |
| (923) 445-7085 |
| Full Name | Total Point Prescott Medical |
|---|---|
| Speciality | Family Medicine |
| Location | 3124 Willow Creek Rd, Prescott, Arizona |
| Authorized Official Name and Position | Meryam Ahmad (VP OF REVENUE CYCLE) |
| Authorized Official Contact | 9366766415 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Total Point Prescott Medical 3514 Cedar Springs Rd Dallas TX 75219-4901 Ph: (469) 341-7800 | Total Point Prescott Medical 3124 Willow Creek Rd Prescott AZ 86301-6610 Ph: (923) 445-7085 |
| NPI Number | 1184408874 |
|---|---|
| Provider Enumeration Date | 08/23/2023 |
| Last Update Date | 09/19/2023 |
| Medicare PECOS PAC ID | 5092151696 |
|---|---|
| Medicare Enrollment ID | O20240305004562 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184408874 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Samuel Sanchez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780693861 PECOS PAC ID: 2264338714 Enrollment ID: I20130724000094 |
| Provider Name | Christopher Novack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366825978 PECOS PAC ID: 2567762743 Enrollment ID: I20171205001671 |
| Provider Name | Kenna Jan Stephenson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962697755 PECOS PAC ID: 2860570033 Enrollment ID: I20211013001513 |
| Provider Name | Sandra Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578124541 PECOS PAC ID: 2769869668 Enrollment ID: I20220516000537 |
| Provider Name | Sean A Maiolo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487147682 PECOS PAC ID: 1153674825 Enrollment ID: I20220708003147 |
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Verde Valley Guidance Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3633 Crossings Dr, Prescott, AZ 86305 Phone: 928-778-0330 Fax: 928-778-1146 | |
Fred S Markham Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 804 Ainsworth Dr, Suite 104, Prescott, AZ 86301 Phone: 928-778-1736 Fax: 928-717-0785 | |
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