Dr Nanette S Nuessle, MD | |
7219 N Litchfield Rd, Bldg 1130, Glendale, AZ 85309 | |
(623) 856-4029 | |
Not Available |
Full Name | Dr Nanette S Nuessle |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 7219 N Litchfield Rd, Glendale, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184630741 | NPI | - | NPPES |
036087877 1 | Medicaid | IL | |
04-34846 | Other | KANSAS LICENSE | |
279500 | Other | MEDICARE GROUP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 04-34846 (Kansas) | Secondary |
208000000X | Pediatrics | 036-087877 (Illinois) | Secondary |
208000000X | Pediatrics | 47491 (Arizona) | Primary |
Entity Name | Wake Forest University Health Sciences |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003803032 PECOS PAC ID: 4486564952 Enrollment ID: O20031105000436 |
Mailing Address | Practice Location Address |
---|---|
Dr Nanette S Nuessle, MD 11630 N Reems Rd, #2051, Surprise, AZ 85374 Ph: (913) 948-3323 | Dr Nanette S Nuessle, MD 7219 N Litchfield Rd, Bldg 1130, Glendale, AZ 85309 Ph: (623) 856-4029 |
Dr. Tich-hao Mach, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 6114 N 59th Ave Ste 4, Glendale, AZ 85301 Phone: 623-937-8643 | |
Susanna Emilia Nickel, PA Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3575 W Deer Valley Rd, Glendale, AZ 85308 Phone: 480-585-5200 | |
Amit Jain, M.D., M.B.A. Pediatrics Medicare: Medicare Enrolled Practice Location: 6206 W Bell Rd, Glendale, AZ 85308 Phone: 480-882-4545 Fax: 602-863-5851 | |
Michael I Berman, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 18700 N 64th Dr, Ste 301, Glendale, AZ 85308 Phone: 623-561-5437 Fax: 623-561-9320 | |
Ms. Carmen M Rivera, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7734 N 59th Ave, Glendale, AZ 85301 Phone: 602-569-3999 Fax: 602-569-3887 | |
Mr. Jason Daniel Vargas, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5940 W Union Hills Dr, Suite D-100, Glendale, AZ 85308 Phone: 602-978-2500 Fax: 602-938-2198 | |
Kay Frances Navarrette, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5940 W Union Hills Dr, Suite D100, Glendale, AZ 85308 Phone: 602-978-2500 Fax: 602-938-2198 |