| Arizona Medical Services - Phoenix | |
|
1501 E Washington St Phoenix AZ 85034-1177 | |
| (602) 253-6553 | |
| (602) 253-6554 |
| Full Name | Arizona Medical Services - Phoenix |
|---|---|
| Speciality | Clinic/Center |
| Location | 1501 E Washington St, Phoenix, Arizona |
| Authorized Official Name and Position | Zack Ragsdale (DIRECTOR) |
| Authorized Official Contact | 5124545911 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Arizona Medical Services - Phoenix 5001 Spring Valley Road Suite 600 East Dallas TX 75244-3946 Ph: (214) 365-6100 | Arizona Medical Services - Phoenix 1501 E Washington St Phoenix AZ 85034-1177 Ph: (602) 253-6553 |
| NPI Number | 1871203893 |
|---|---|
| Provider Enumeration Date | 11/30/2022 |
| Last Update Date | 09/23/2024 |
| Certification Date | 09/23/2024 |
| Medicare PECOS PAC ID | 6507226495 |
|---|---|
| Medicare Enrollment ID | O20230725000298 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871203893 | NPI | - | NPPES |
| Provider Name | Kristine M Mehrabani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689264772 PECOS PAC ID: 0749697217 Enrollment ID: I20210329002339 |
| Provider Name | Traci Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659871994 PECOS PAC ID: 0840554101 Enrollment ID: I20230913000826 |
| Provider Name | Lilian Kigonya |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932375110 PECOS PAC ID: 4284788654 Enrollment ID: I20230913001662 |
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