Joel Phillip Medrano, | |
1665 N Avondale Blvd, Avondale, AZ 85392-5006 | |
(602) 933-1000 | |
Not Available |
Full Name | Joel Phillip Medrano |
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Gender | Male |
Speciality | Nurse Practitioner |
Location | 1665 N Avondale Blvd, Avondale, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942789367 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | TAP11637 (Arizona) | Primary |
Entity Name | Phoenix Children's Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922112044 PECOS PAC ID: 0446278584 Enrollment ID: O20051107000704 |
Entity Name | Signify Health Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689158487 PECOS PAC ID: 3274895263 Enrollment ID: O20210305000869 |
Mailing Address | Practice Location Address |
---|---|
Joel Phillip Medrano, 20508 W Daniel Pl, Buckeye, AZ 85396-3649 Ph: (714) 659-1969 | Joel Phillip Medrano, 1665 N Avondale Blvd, Avondale, AZ 85392-5006 Ph: (602) 933-1000 |
Mr. Justin Markel Belford, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3426 N 126th Dr, Avondale, AZ 85392 Phone: 623-695-4011 | |
Courtney Standifird, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10450 W Mcdowell Rd Ste 101, Avondale, AZ 85392 Phone: 623-935-1000 | |
Kia Lambeth, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10815 W Mcdowell Rd Ste 305, Avondale, AZ 85392 Phone: 623-936-3312 Fax: 623-936-4248 | |
Amy Christine Amore, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13075 W Mcdowell Rd Ste D106, Avondale, AZ 85392 Phone: 623-547-0522 | |
Mrs. Marytza Olivas-osuna, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13055 W Mcdowell Rd Ste G112, Avondale, AZ 85392 Phone: 623-322-5900 | |
Joyce Akosua Bour, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12729 W Monte Vista Rd, Avondale, AZ 85392 Phone: 623-792-0209 | |
Bolatito Oyeronke Okougbo, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10926 W Ivory Ln, Avondale, AZ 85392 Phone: 623-977-7644 |