| Ascension Medical Llc | |
|
9590 E Ironwood Sq Suite 210 Scottsdale AZ 85258 | |
| (480) 668-3485 | |
| Not Available |
| Full Name | Ascension Medical Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 9590 E Ironwood Sq Suite 210, Scottsdale, Arizona |
| Authorized Official Name and Position | Payam Sadr (OWNER) |
| Authorized Official Contact | 4806683485 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ascension Medical Llc 4808 N 24th St Unit 805 Phoenix AZ 85016 Ph: (480) 668-3485 | Ascension Medical Llc 9590 E Ironwood Sq Suite 210 Scottsdale AZ 85258 Ph: (480) 668-3485 |
| NPI Number | 1760984215 |
|---|---|
| Provider Enumeration Date | 03/01/2018 |
| Last Update Date | 03/01/2018 |
| Medicare PECOS PAC ID | 7214299593 |
|---|---|
| Medicare Enrollment ID | O20180531002751 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760984215 | NPI | - | NPPES |
| 494616 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0805X | Psychiatry & Neurology - Geriatric Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Payam M Sadr |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043479249 PECOS PAC ID: 2668598079 Enrollment ID: I20100922001301 |
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