| Jose Ramon Sanchez Bastidas, NP-C | |
|
1453 N Main Street, Suite 6, San Luis, AZ 85336 | |
| (928) 459-3508 | |
| (928) 459-3515 |
| Full Name | Jose Ramon Sanchez Bastidas |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 3 Years |
| Location | 1453 N Main Street, San Luis, Arizona |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629724075 | NPI | - | NPPES |
| 121183 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 271774 (Arizona) | Primary |
| 163W00000X | Registered Nurse | RN180685 (Arizona) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| San Luis Walk-in Clinic Inc | 2668361841 | 37 |
| Entity Name | San Luis Walk-in Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104228337 PECOS PAC ID: 2668361841 Enrollment ID: O20040514000795 |
| Mailing Address | Practice Location Address |
|---|---|
| Jose Ramon Sanchez Bastidas, NP-C Po Box 617, Somerton, AZ 85350-0617 Ph: (928) 315-7910 | Jose Ramon Sanchez Bastidas, NP-C 1453 N Main Street, Suite 6, San Luis, AZ 85336 Ph: (928) 459-3508 |
Taliah Anabell Torres, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1233 N Main St Ste 1a, San Luis, AZ 85336 Phone: 928-550-5514 | |
Ms. Adlene Joseph, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1896 E Babbitt Ln, San Luis, AZ 85349 Phone: 928-722-6112 Fax: 928-722-6113 | |
Larry Anthony Morales, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1233 N Main St Ste 1a, San Luis, AZ 85336 Phone: 928-550-5514 Fax: 928-550-5160 | |
Mrs. Leah K Mcnair, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1896 E. Babbit Lane, San Luis, AZ 85349 Phone: 928-627-9222 Fax: 928-627-8315 | |
Diana Lorena Monroy, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1233 N Main St Ste 1a, San Luis, AZ 85336 Phone: 928-550-5514 | |
Hector Israel De La Torre, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1233 N Main St Ste 1a, San Luis, AZ 85336 Phone: 928-550-5514 Fax: 928-722-6113 | |
Richard Nasiru Elelu, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7125 East Cesar Chavez Boulevard, San Luis, AZ 85349 Phone: 928-627-8871 |