Dr Krista Deann Pellicore, MD | |
235 W Western Ave, Avondale, AZ 85323-1848 | |
(602) 230-7373 | |
(602) 230-3086 |
Full Name | Dr Krista Deann Pellicore |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 25 Years |
Location | 235 W Western Ave, Avondale, Arizona |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235174731 | NPI | - | NPPES |
200447730 | Medicaid | IN | |
000000305690 | Other | BCBS PROVIDER NUMBER | |
857797 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 48328 (Arizona) | Primary |
207Q00000X | Family Medicine | 01057388A (Indiana) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Denova Collaborative Health, Llc | 2466437736 | 84 |
Entity Name | Denova Collaborative Health, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609300854 PECOS PAC ID: 2466437736 Enrollment ID: O20040621001542 |
Mailing Address | Practice Location Address |
---|---|
Dr Krista Deann Pellicore, MD 3101 N Central Ave Ste 550, Phoenix, AZ 85012-2635 Ph: (602) 230-7373 | Dr Krista Deann Pellicore, MD 235 W Western Ave, Avondale, AZ 85323-1848 Ph: (602) 230-7373 |
Dr. Steven Rush Sumpter, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10815 W Mcdowell Rd, 201, Avondale, AZ 85392 Phone: 602-433-0155 Fax: 623-433-0185 | |
Dr. Kamel M Sadek, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10815 W Mcdowell Rd Ste 305, Avondale, AZ 85392 Phone: 623-936-3312 Fax: 623-936-4248 | |
Dr. Mark S Bessette, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3125 N Dysart Rd, Avondale, AZ 85392 Phone: 623-882-9161 Fax: 623-925-0745 | |
Dr. Goshtasb Javdan, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 950 E Van Buren St, Avondale, AZ 85323 Phone: 623-344-6800 Fax: 623-344-6801 | |
Dr. Phat Dai Hoang, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 13065 W Mcdowell Rd, Suite A105, Avondale, AZ 85392 Phone: 623-536-6788 Fax: 623-536-9288 | |
Aneta Wiejski, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1719 N Dysart Rd, Avondale, AZ 85392 Phone: 623-232-3322 |