Ms Susan Nicole Damico, CFNP | |
14200 W Celebrate Life Way, Goodyear, AZ 85338-3007 | |
(623) 207-3904 | |
Not Available |
Full Name | Ms Susan Nicole Damico |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 27 Years |
Location | 14200 W Celebrate Life Way, Goodyear, Arizona |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508835059 | NPI | - | NPPES |
01932961 | Medicaid | NY | |
P00199366 | Other | PA | RR MEDICARE PIN |
CC8362 | Other | NY | RR MEDICARE GROUP |
CC9269 | Other | PA | RR MEDICARE GROUP |
GU039841 | Other | PA | MEDICARE GROUP |
500014013 | Other | NY | RR MEDICARE PIN |
Facility Name | Location | Facility Type |
---|---|---|
Western Regional Medical Center | Goodyear, AZ | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ctca Physicians Group Of Arizona Llc | 2264593474 | 110 |
Entity Name | Ctca Physicians Group Of Arizona Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609026806 PECOS PAC ID: 2264593474 Enrollment ID: O20081205000793 |
Mailing Address | Practice Location Address |
---|---|
Ms Susan Nicole Damico, CFNP 14200 W Celebrate Life Way, Goodyear, AZ 85338-3007 Ph: (623) 207-3904 | Ms Susan Nicole Damico, CFNP 14200 W Celebrate Life Way, Goodyear, AZ 85338-3007 Ph: (623) 207-3904 |
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