Mario Eleno De Castro Cordero Iii, FNP-C | |
287 E Hunt Hwy, Suite 105, San Tan Valley, AZ 85143-5095 | |
(480) 677-8282 | |
(480) 535-0962 |
Full Name | Mario Eleno De Castro Cordero Iii |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 12 Years |
Location | 287 E Hunt Hwy, San Tan Valley, 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 |
---|---|---|---|
1942559323 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | F0812566 (Arizona) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Good Health Medical, Pllc | 3779680962 | 72 |
Entity Name | Good Health Medical, Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144764432 PECOS PAC ID: 3779680962 Enrollment ID: O20070523000237 |
Mailing Address | Practice Location Address |
---|---|
Mario Eleno De Castro Cordero Iii, FNP-C 4600 S Mill Ave, Suite 280, Tempe, AZ 85282-6757 Ph: (480) 305-2888 | Mario Eleno De Castro Cordero Iii, FNP-C 287 E Hunt Hwy, Suite 105, San Tan Valley, AZ 85143-5095 Ph: (480) 677-8282 |
Laura Babb, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 287 E Hunt Hwy, Suite 105, San Tan Valley, AZ 85143 Phone: 480-677-8282 Fax: 480-677-8283 | |
Paige Figa Church, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 287 E Hunt Hwy Ste 105, San Tan Valley, AZ 85143 Phone: 480-677-8282 Fax: 480-535-0962 | |
Lisa Wakefield, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1148 W Fruit Tree Ln, San Tan Valley, AZ 85143 Phone: 313-478-8274 | |
Christina Joyave, AGNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 37100 N Gantzel Rd, San Tan Valley, AZ 85140 Phone: 480-821-3616 | |
John Cruz Ortiz Jr., ACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 37000 N Gantzel Rd, San Tan Valley, AZ 85140 Phone: 480-394-4000 | |
Tara L Luke, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 287 E Hunt Hwy Ste 105, San Tan Valley, AZ 85143 Phone: 480-677-8282 | |
Andrea Zander, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 36351 N Gantzel Rd Ste 127-128, San Tan Valley, AZ 85140 Phone: 480-336-2815 |