| Skyline Medicine | |
|
6112 E Brown Rd Mesa AZ 85205-4955 | |
| (480) 924-4422 | |
| Not Available |
| Full Name | Skyline Medicine |
|---|---|
| Speciality | Clinic/Center |
| Location | 6112 E Brown Rd, Mesa, Arizona |
| Authorized Official Name and Position | Kerry Green (OWNER) |
| Authorized Official Contact | 4809244422 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Skyline Medicine 6112 E Brown Rd Mesa AZ 85205-4955 Ph: (480) 924-4422 | Skyline Medicine 6112 E Brown Rd Mesa AZ 85205-4955 Ph: (480) 924-4422 |
| NPI Number | 1356523492 |
|---|---|
| Provider Enumeration Date | 11/30/2007 |
| Last Update Date | 03/08/2012 |
| Medicare PECOS PAC ID | 3476538729 |
|---|---|
| Medicare Enrollment ID | O20040621001436 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356523492 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 29662 (Arizona) | Primary |
| Provider Name | Kerry S Green |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801835350 PECOS PAC ID: 5890770150 Enrollment ID: I20060316000444 |
| Provider Name | Amanda M Barrett |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1144349648 PECOS PAC ID: 1759473143 Enrollment ID: I20070815000095 |
| Provider Name | Stephen L Thomas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508849985 PECOS PAC ID: 4082756754 Enrollment ID: I20100118000266 |
| Provider Name | Melynda Sue Buell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1578848040 PECOS PAC ID: 5597923821 Enrollment ID: I20120216000174 |
| Provider Name | Jared D Gunnell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1366791873 PECOS PAC ID: 3971740085 Enrollment ID: I20130509000334 |
| Provider Name | Vivian Marie Marcuzzo |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1932215407 PECOS PAC ID: 7315965399 Enrollment ID: I20150311000907 |
| Provider Name | Taylor C Baggs |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1194245746 PECOS PAC ID: 5496021883 Enrollment ID: I20171031000835 |
| Provider Name | Taylor L Kovach |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1710546619 PECOS PAC ID: 7416284302 Enrollment ID: I20210428000538 |
| Provider Name | Ryan Alexander |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1710604798 PECOS PAC ID: 7012384985 Enrollment ID: I20221104002688 |
| Provider Name | Kaitlin H Landrum |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1487365490 PECOS PAC ID: 3173974532 Enrollment ID: I20240110001323 |
Ohana Kids & Family Kare LLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3130 E Baseline Rd Ste 103, Mesa, AZ 85204 Phone: 480-539-7618 Fax: 480-900-8884 |
Dedicated Internal Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1134 E University Dr Ste 111, Mesa, AZ 85203 Phone: 480-398-1220 Fax: 480-398-1238 |
Mgt MD at Home Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7117 E Peralta Cir, Mesa, AZ 85212 Phone: 480-430-0721 |
Stillpoint Wellness, LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2266 S Dobson Rd Ste 200, Mesa, AZ 85202 Phone: 480-280-1996 Fax: 602-532-7649 |
Voyage Medical Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1130 W Grove Ave Ste 115, Mesa, AZ 85210 Phone: 480-685-0930 |
Tripp Family Medicine, P.A. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2830 E Brown Rd, Suite 1, Mesa, AZ 85213 Phone: 480-830-7546 Fax: 480-830-7550 |