Dr Trisha Simone Tavares, MD | |
3033 N Central Ave Ste 700, Phoenix, AZ 85012-2806 | |
(602) 230-7373 | |
(602) 257-8029 |
Full Name | Dr Trisha Simone Tavares |
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Gender | Female |
Speciality | Family Medicine |
Location | 3033 N Central Ave Ste 700, 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 |
---|---|---|---|
1447461520 | NPI | - | NPPES |
02881065 | Medicaid | NY | |
895139 | Medicaid | AZ |
Entity Name | Denova Collaborative Health, Llc |
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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 |
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Dr Trisha Simone Tavares, MD 3101 N Central Ave Ste 550, Phoenix, AZ 85012-2635 Ph: (602) 230-7373 | Dr Trisha Simone Tavares, MD 3033 N Central Ave Ste 700, Phoenix, AZ 85012-2806 Ph: (602) 230-7373 |
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 |