Dr Manuel L Medina, PHD | |
4020 N Zapotec Ave, Eloy, AZ 85231-1160 | |
(520) 464-8341 | |
Not Available |
Full Name | Dr Manuel L Medina |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 4020 N Zapotec Ave, Eloy, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740345404 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | LCSW # 11051 (Arizona) | Primary |
Entity Name | Pinal Hispanic Council |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235271404 PECOS PAC ID: 4981742434 Enrollment ID: O20091104000052 |
Mailing Address | Practice Location Address |
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Dr Manuel L Medina, PHD 4020 N Zapotec Ave, Eloy, AZ 85231-1160 Ph: (520) 464-8341 | Dr Manuel L Medina, PHD 4020 N Zapotec Ave, Eloy, AZ 85231-1160 Ph: (520) 464-8341 |
Susan Hapak, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 712 N Main St, Eloy, AZ 85131 Phone: 520-466-7765 | |
Ralph Varela, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 712 N Main St, Eloy, AZ 85131 Phone: 520-466-7765 | |
Mary Jane Lewis, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1410 N Fairway Dr, Eloy, AZ 85131 Phone: 910-352-9624 |