| Wickenburg Diabetes & Wound Care Center Llc | |
|
519 Rose Ln Wickenburg AZ 85390-1448 | |
| (844) 888-0408 | |
| Not Available |
| Full Name | Wickenburg Diabetes & Wound Care Center Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 519 Rose Ln, Wickenburg, Arizona |
| Authorized Official Name and Position | Tyler Stout (MANAGER) |
| Authorized Official Contact | 3373157927 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wickenburg Diabetes & Wound Care Center Llc 519 Rose Ln Wickenburg AZ 85390-1448 Ph: (844) 888-0408 | Wickenburg Diabetes & Wound Care Center Llc 519 Rose Ln Wickenburg AZ 85390-1448 Ph: (844) 888-0408 |
| NPI Number | 1578361481 |
|---|---|
| Provider Enumeration Date | 03/05/2025 |
| Last Update Date | 11/06/2025 |
| Medicare PECOS PAC ID | 1254853328 |
|---|---|
| Medicare Enrollment ID | O20250318002021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578361481 | NPI | - | NPPES |
| Provider Name | Victor Knutzen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255679320 PECOS PAC ID: 7719117407 Enrollment ID: I20250319001930 |
Wickenburg Healthcare Alliance Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 108 N Frontier St, Wickenburg, AZ 85390 Phone: 928-684-7255 | |
Adelante Healthcare, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 811 North Tegner, Suite 113, Wickenburg, AZ 85390 Phone: 480-964-2273 Fax: 623-583-8330 | |
Anu Hospitalist Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 520 Rose Ln, Wickenburg, AZ 85390 Phone: 702-453-3799 | |
Community Hospital Association, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 523 Rose Ln, Wickenburg, AZ 85390 Phone: 928-668-1833 Fax: 928-684-7457 | |
Sun Health Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1395 W Wickenburg Way, Wickenburg, AZ 85390 Phone: 928-684-5428 Fax: 928-684-7457 | |
Miller Clinic Ltd Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 500 Savage St, Wickenburg, AZ 85390 Phone: 928-684-2425 Fax: 928-684-0387 |