| Dr Michael Reyes Medrano, PHD | |
|
17014 W Bell Rd Ste 100, Surprise, AZ 85374-2479 | |
| (623) 866-4484 | |
| (415) 252-7176 |
| Full Name | Dr Michael Reyes Medrano |
|---|---|
| Gender | Male |
| Speciality | Clinical Psychologist |
| Experience | 5 Years |
| Location | 17014 W Bell Rd Ste 100, Surprise, Arizona |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386382372 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSY-2022-0046 (New Mexico) | Secondary |
| 103TC0700X | Psychologist - Clinical | PSY-005525 (Arizona) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Iora Senior Health Llc | 0143520189 | 123 |
| Iora Senior Health Llc | 0143520189 | 123 |
| Iora Health Georgia Pc | 1850644394 | 24 |
| Iora Senior Health Llc | 0143520189 | 123 |
| Entity Name | Iora Senior Health Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619376456 PECOS PAC ID: 0143520189 Enrollment ID: O20151124001666 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michael Reyes Medrano, PHD 17014 W Bell Rd Ste 100, Surprise, AZ 85374-2479 Ph: () - | Dr Michael Reyes Medrano, PHD 17014 W Bell Rd Ste 100, Surprise, AZ 85374-2479 Ph: (623) 866-4484 |
James A Leroy, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 12425 W Bell Rd, Suite 200, Surprise, AZ 85378 Phone: 623-374-7774 Fax: 623-240-1110 | |
Amanda Robichaud, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 15802 N Parkview Pl, Surprise, AZ 85374 Phone: 623-523-8634 | |
Genevieve Cappello, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 15802 N Parkview Pl, Surprise, AZ 85374 Phone: 623-876-7482 | |
Tara Tirado, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 15802 N Parkview Pl, Surprise, AZ 85374 Phone: 623-523-5135 | |
Jennifer Hargrave, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 15802 N Parkview Pl, Surprise, AZ 85374 Phone: 623-876-7022 | |
Mrs. Marni Marie Lahti, MA, MSE Psychologist Medicare: Not Enrolled in Medicare Practice Location: 15802 North Parkview Place, Surprise, AZ 85374 Phone: 623-876-7022 | |
Dr. Alicja Stewart, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 14780 W. Mountain View Blvd., Suite 110, Surprise, AZ 85374 Phone: 623-374-7774 |