| Ipgs | |
|
2075 S Cottonwood Dr Tempe AZ 85282-3040 | |
| (480) 718-0568 | |
| (480) 307-6676 |
| Full Name | Ipgs |
|---|---|
| Speciality | Internal Medicine |
| Location | 2075 S Cottonwood Dr, Tempe, Arizona |
| Authorized Official Name and Position | Feras Aldaoud (PROVIDER) |
| Authorized Official Contact | 4807180568 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ipgs 2075 S Cottonwood Dr Tempe AZ 85282-3040 Ph: (480) 718-0568 | Ipgs 2075 S Cottonwood Dr Tempe AZ 85282-3040 Ph: (480) 718-0568 |
| NPI Number | 1770961914 |
|---|---|
| Provider Enumeration Date | 05/07/2015 |
| Last Update Date | 03/19/2020 |
| Certification Date | 03/19/2020 |
| Medicare PECOS PAC ID | 0446537096 |
|---|---|
| Medicare Enrollment ID | O20170508002145 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770961914 | NPI | - | NPPES |
| 208912 | Medicaid | AZ |
| Provider Name | Feras Aldaoud |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285801019 PECOS PAC ID: 8628261427 Enrollment ID: I20110326000015 |
| Provider Name | Chidinma F Acheampong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154718328 PECOS PAC ID: 3971824087 Enrollment ID: I20150602000013 |
| Provider Name | Jaeha Song |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1700292877 PECOS PAC ID: 6103046826 Enrollment ID: I20180801002735 |
| Provider Name | Stacy Beth Adler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568568830 PECOS PAC ID: 1355674268 Enrollment ID: I20190607002530 |
| Provider Name | Rachel C Gable |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881172260 PECOS PAC ID: 6002140423 Enrollment ID: I20190618003499 |
| Provider Name | Kelly A Ranahan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316506561 PECOS PAC ID: 0446684450 Enrollment ID: I20191230000582 |
| Provider Name | Reena Kumar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588082606 PECOS PAC ID: 8527358399 Enrollment ID: I20200529003006 |
| Provider Name | Megan Victoria Mays |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801360417 PECOS PAC ID: 1759792385 Enrollment ID: I20201202002614 |
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