Matilda Boachie, PMHNP | |
316 W Pinnacle Ridge Dr, San Tan Valley, AZ 85140-7047 | |
(860) 967-2388 | |
Not Available |
Full Name | Matilda Boachie |
---|---|
Gender | Female |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 316 W Pinnacle Ridge Dr, San Tan Valley, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306571468 | NPI | - | NPPES |
NA | Other | NA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 234728 (Arizona) | Primary |
Entity Name | Community Bridges Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558095315 PECOS PAC ID: 2062699721 Enrollment ID: O20110606000388 |
Entity Name | Angels Valley Community Healthcare Center Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689303117 PECOS PAC ID: 8628452927 Enrollment ID: O20220906002813 |
Entity Name | Hayeshua Serenity Care Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023892429 PECOS PAC ID: 0941745111 Enrollment ID: O20240711003016 |
Mailing Address | Practice Location Address |
---|---|
Matilda Boachie, PMHNP 316 W Pinnacle Ridge Dr, San Tan Valley, AZ 85140-7047 Ph: (860) 967-2388 | Matilda Boachie, PMHNP 316 W Pinnacle Ridge Dr, San Tan Valley, AZ 85140-7047 Ph: (860) 967-2388 |
David Ray Lewis, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 36457 N Gantzel Rd Ste 102, San Tan Valley, AZ 85140 Phone: 480-764-1900 | |
Dr. Philip Perera, Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 30883 N Glory Grv, San Tan Valley, AZ 85143 Phone: 858-504-0916 |