Matt Evans, MD | |
1209 S 1st Ave, Phoenix, AZ 85003-2692 | |
(602) 258-6797 | |
Not Available |
Full Name | Matt Evans |
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Gender | Male |
Speciality | Family Medicine |
Location | 1209 S 1st Ave, Phoenix, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1821431560 | NPI | - | NPPES |
322863 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2083A0300X | Preventive Medicine - Addiction Medicine | 54817 (Arizona) | Secondary |
207Q00000X | Family Medicine | 54817 (Arizona) | Primary |
Entity Name | Valle Del Sol Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831344035 PECOS PAC ID: 8628019148 Enrollment ID: O20050516000299 |
Entity Name | Yavapai Regional Medical Center Physician Care, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255582003 PECOS PAC ID: 5294898987 Enrollment ID: O20090106000798 |
Entity Name | Tca Plc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861784753 PECOS PAC ID: 7214109487 Enrollment ID: O20111012000217 |
Mailing Address | Practice Location Address |
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Matt Evans, MD 3060 N Ridgecrest Unit 161, Mesa, AZ 85207-1081 Ph: (480) 332-9227 | Matt Evans, MD 1209 S 1st Ave, Phoenix, AZ 85003-2692 Ph: (602) 258-6797 |
Dr. Serena Dawn Woods-grimm, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 201 N Central Ave, Phoenix, AZ 85004 Phone: 602-221-6326 | |
Michael Devin Taylor, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2927 N 7th Ave, Peppertree - Family Medicine #3, Phoenix, AZ 85013 Phone: 602-406-3153 Fax: 602-406-4122 | |
Dr. Umar Iqbal, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2927 N 7th Ave, Peppertree Building - Window #3, Phoenix, AZ 85013 Phone: 602-406-3153 Fax: 602-406-7176 | |
Jessica Ann Wright, PA-C Family Medicine Medicare: Medicare Enrolled Practice Location: 1919 E Thomas Rd, Phoenix, AZ 85016 Phone: 602-933-1000 | |
Meggan E Bauer, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4250 E Camelback Rd Ste K100, Phoenix, AZ 85018 Phone: 602-224-9218 | |
Dr. James W. Fisher, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 12450 N 32nd St Ste 3, Phoenix, AZ 85032 Phone: 602-996-0924 Fax: 602-482-2624 | |
Geoffrey Peter Radoff, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2525 West Greenway, Suite 210, Phoenix, AZ 85023 Phone: 602-993-0200 Fax: 602-993-0207 |