Adelante Healthcare-wickenburg | |
811 North Tegner Suite 113 Wickenburg AZ 85390-2226 | |
(480) 964-2273 | |
(623) 583-8330 |
Full Name | Adelante Healthcare-wickenburg |
---|---|
Speciality | Clinic/Center |
Location | 811 North Tegner, Wickenburg, Arizona |
Authorized Official Name and Position | Krystal Powell (REVENUE CYCLE DIRECTOR) |
Authorized Official Contact | 6235833001 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Adelante Healthcare-wickenburg 3033 N Central Ave Ste 145 Phoenix AZ 85012-2808 Ph: (623) 583-3001 | Adelante Healthcare-wickenburg 811 North Tegner Suite 113 Wickenburg AZ 85390-2226 Ph: (480) 964-2273 |
NPI Number | 1083772545 |
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Provider Enumeration Date | 12/05/2006 |
Last Update Date | 04/28/2023 |
Medicare PECOS PAC ID | 4688588643 |
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Medicare Enrollment ID | O20031114000335 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083772545 | NPI | - | NPPES |
Provider Name | Robert D Babyar |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1558364646 PECOS PAC ID: 0941102198 Enrollment ID: I20040127000282 |
Provider Name | Maria E Avilez |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1730126756 PECOS PAC ID: 7416949169 Enrollment ID: I20040401000800 |
Provider Name | Jocelyn Nguyen |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1467493015 PECOS PAC ID: 7416913256 Enrollment ID: I20041203000477 |
Provider Name | Justice H D Tran |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1013013358 PECOS PAC ID: 4981635844 Enrollment ID: I20050830000932 |
Provider Name | Angela Johansson |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1295739985 PECOS PAC ID: 0941232615 Enrollment ID: I20050901000635 |
Provider Name | Melia K Cox |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1093789661 PECOS PAC ID: 3173546744 Enrollment ID: I20060110000273 |
Provider Name | Elizabeth Prevette |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184642415 PECOS PAC ID: 1456356344 Enrollment ID: I20060927000607 |
Provider Name | Sara M Lestourgeon |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1427054329 PECOS PAC ID: 5597823971 Enrollment ID: I20081029000554 |
Provider Name | Ricardo E Tapia |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1477746030 PECOS PAC ID: 2668520958 Enrollment ID: I20090424000139 |
Provider Name | Shawn M Singleton |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1891991253 PECOS PAC ID: 6901959071 Enrollment ID: I20090806000749 |
Provider Name | Bridgette L Terrazas |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1891925855 PECOS PAC ID: 5496800328 Enrollment ID: I20090828000366 |
Provider Name | Duc Annie Minh Nguyen |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1700060480 PECOS PAC ID: 1355474032 Enrollment ID: I20100802000412 |
Provider Name | Shireen K Allen-lawson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306912266 PECOS PAC ID: 0042335341 Enrollment ID: I20100909000978 |
Provider Name | Davis L Plunkett |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1316249220 PECOS PAC ID: 0749478279 Enrollment ID: I20101227000757 |
Provider Name | Nina A Ulrich |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790955409 PECOS PAC ID: 2961684915 Enrollment ID: I20110311000325 |
Provider Name | Shahrzad Borhan-manesh |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1275641870 PECOS PAC ID: 9638273428 Enrollment ID: I20110311000342 |
Provider Name | Suganya J Karuppana |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1508066994 PECOS PAC ID: 0749333052 Enrollment ID: I20110325000149 |
Provider Name | Annette L Caruso |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1356632285 PECOS PAC ID: 5496769119 Enrollment ID: I20110525000416 |
Provider Name | Jennifer B Sniadanko |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1689821266 PECOS PAC ID: 0840468674 Enrollment ID: I20110722000235 |
Provider Name | Anthony Vincent Indovina |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1851373005 PECOS PAC ID: 5799747556 Enrollment ID: I20110926000321 |
Provider Name | Ellen M Giordano |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1871778027 PECOS PAC ID: 6204096233 Enrollment ID: I20120328000482 |
Provider Name | Leszek Grabowski |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1538309133 PECOS PAC ID: 3971766429 Enrollment ID: I20120518000533 |
Provider Name | Evelyn R Lopez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225395726 PECOS PAC ID: 7911162359 Enrollment ID: I20120710000022 |
Provider Name | Rainey B Millet |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1588800403 PECOS PAC ID: 1759538028 Enrollment ID: I20120822000411 |
Provider Name | Mark J Pyle |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1053536805 PECOS PAC ID: 4284884222 Enrollment ID: I20121026000716 |
Provider Name | Davinder S Mann |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1740410125 PECOS PAC ID: 7012158751 Enrollment ID: I20130723000790 |
Provider Name | Allan G Mccallum |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427056340 PECOS PAC ID: 4183704422 Enrollment ID: I20130828000330 |
Provider Name | Sharleen V Ballance |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235579079 PECOS PAC ID: 5799928404 Enrollment ID: I20130828000661 |
Provider Name | Cheryl L Poisson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538353396 PECOS PAC ID: 1052547619 Enrollment ID: I20131204001090 |
Provider Name | Lais U Perlstein |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1184835126 PECOS PAC ID: 2062568348 Enrollment ID: I20131219001506 |
Provider Name | Cynthia E Shelton |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245263680 PECOS PAC ID: 5193948255 Enrollment ID: I20140519002198 |
Provider Name | Andrew Tapia |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1083909378 PECOS PAC ID: 7214158757 Enrollment ID: I20141024002040 |
Provider Name | Jeffrey Dann |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1821424524 PECOS PAC ID: 9234452426 Enrollment ID: I20141218002317 |
Provider Name | Susan L Boyles |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1174913651 PECOS PAC ID: 0244557429 Enrollment ID: I20150327000617 |
Provider Name | Carlos A Mendez |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1205052057 PECOS PAC ID: 6204920630 Enrollment ID: I20150520001114 |
Provider Name | Joleen Schultz |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629460092 PECOS PAC ID: 5395056543 Enrollment ID: I20150615002605 |
Provider Name | Matthew Parker |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1437448453 PECOS PAC ID: 0143440289 Enrollment ID: I20150914003021 |
Provider Name | Baynazier Ansari |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1669678538 PECOS PAC ID: 7810176450 Enrollment ID: I20160202001797 |
Provider Name | Beatrice Pina |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1457616161 PECOS PAC ID: 3173828548 Enrollment ID: I20160223000676 |
Provider Name | Nader R Ajluni |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1649273228 PECOS PAC ID: 4880835529 Enrollment ID: I20160809002253 |
Provider Name | Kareem Bannis |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1134569494 PECOS PAC ID: 3375835010 Enrollment ID: I20170711002962 |
Provider Name | Cheryl Lea Whiting |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851821110 PECOS PAC ID: 5294005880 Enrollment ID: I20170713003009 |
Provider Name | Bonte Gbemudu |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1104137256 PECOS PAC ID: 9335377720 Enrollment ID: I20170822003782 |
Provider Name | Tammy Lynn Ericson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659819985 PECOS PAC ID: 4082986187 Enrollment ID: I20171113003269 |
Provider Name | Ifeanyi Emmanuel Igboanugo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396252037 PECOS PAC ID: 2163781170 Enrollment ID: I20180124000865 |
Provider Name | Shawnte Edmond |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912413618 PECOS PAC ID: 6709147416 Enrollment ID: I20180220002709 |
Provider Name | April Lucas |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1366471963 PECOS PAC ID: 0547522344 Enrollment ID: I20180314001201 |
Provider Name | Krista Nicole Beasley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518262567 PECOS PAC ID: 9638433386 Enrollment ID: I20180503001991 |
Provider Name | Dapinderjit Singh Gill |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1114333911 PECOS PAC ID: 3870858962 Enrollment ID: I20180518001832 |
Provider Name | James Michael Underwood |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1558365957 PECOS PAC ID: 7416047287 Enrollment ID: I20180523001940 |
Provider Name | Melissa Jandt |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1164796876 PECOS PAC ID: 7113282856 Enrollment ID: I20180529002787 |
Provider Name | Christopher H Ferschke |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629562285 PECOS PAC ID: 4082961099 Enrollment ID: I20180723001896 |
Provider Name | Charis Wilder |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235648148 PECOS PAC ID: 1658629779 Enrollment ID: I20180807001332 |
Provider Name | Katie Lee |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1801290457 PECOS PAC ID: 3577813955 Enrollment ID: I20180905003057 |
Provider Name | Rachel Levey Caruso |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1942687421 PECOS PAC ID: 2567715402 Enrollment ID: I20181023003076 |
Provider Name | Jennifer Dimas |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225511686 PECOS PAC ID: 6709139926 Enrollment ID: I20181105001707 |
Provider Name | Katrina Mae Cordova |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508349929 PECOS PAC ID: 2466706569 Enrollment ID: I20181107003605 |
Provider Name | Cherriee M Deshong |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093298283 PECOS PAC ID: 2961746706 Enrollment ID: I20181204003579 |
Provider Name | Sarah J Tucker |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801362892 PECOS PAC ID: 8325383961 Enrollment ID: I20181230000040 |
Provider Name | Nicole Hee Soon Thompson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700353620 PECOS PAC ID: 0042557423 Enrollment ID: I20190123001537 |
Provider Name | Kara Combs |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1265827885 PECOS PAC ID: 3375832769 Enrollment ID: I20190219002676 |
Provider Name | Elizabeth Vidales |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053883371 PECOS PAC ID: 0143569830 Enrollment ID: I20190225000211 |
Provider Name | Destinie N Sanchez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619446655 PECOS PAC ID: 6608115951 Enrollment ID: I20190304001204 |
Provider Name | Tammy Martin |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1619221710 PECOS PAC ID: 8224303524 Enrollment ID: I20190517000503 |
Provider Name | Francisca M Olibarria |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649833716 PECOS PAC ID: 5698008076 Enrollment ID: I20190618001438 |
Provider Name | Paria Pourmalek |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1356759039 PECOS PAC ID: 8426354416 Enrollment ID: I20190620001950 |
Provider Name | Sandra Dardy |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942729413 PECOS PAC ID: 3375879869 Enrollment ID: I20190722001332 |
Provider Name | Boleslaw Andrzej Bendek |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1497033021 PECOS PAC ID: 2769796499 Enrollment ID: I20190807000596 |
Provider Name | Enyonam Agamasu |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1295023935 PECOS PAC ID: 7214222496 Enrollment ID: I20190829003832 |
Provider Name | Morgan Rae West |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1548641376 PECOS PAC ID: 9234468232 Enrollment ID: I20190916002760 |
Provider Name | Jahnavi Kalidindi |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1457701054 PECOS PAC ID: 6507133899 Enrollment ID: I20190930000227 |
Provider Name | Sara Therese Shanah |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891341020 PECOS PAC ID: 4183955339 Enrollment ID: I20191018002464 |
Provider Name | Chitra Mohan |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1982247128 PECOS PAC ID: 7214369768 Enrollment ID: I20191121001334 |
Provider Name | Natasha Burrell |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1962045112 PECOS PAC ID: 7517391766 Enrollment ID: I20191223000974 |
Provider Name | Marsha T Warren |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1447578869 PECOS PAC ID: 1759517220 Enrollment ID: I20200402001998 |
Provider Name | Hasita Patel |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1518386606 PECOS PAC ID: 2668893223 Enrollment ID: I20200607000010 |
Provider Name | Herlinda C Castro |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023675162 PECOS PAC ID: 0547682296 Enrollment ID: I20200625000883 |
Provider Name | Ricki Diamond |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1891226585 PECOS PAC ID: 4486924149 Enrollment ID: I20200707001555 |
Provider Name | Elizabeth Harper Juanillo |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1558716571 PECOS PAC ID: 6406279587 Enrollment ID: I20200708000933 |
Provider Name | Elizabeth Whinston |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1801241898 PECOS PAC ID: 4183969173 Enrollment ID: I20200805002540 |
Provider Name | Sylicia E Mcphea |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1467063453 PECOS PAC ID: 8527487834 Enrollment ID: I20201005002640 |
Provider Name | Tashara N Gray |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1194019398 PECOS PAC ID: 1951559814 Enrollment ID: I20201012001391 |
Provider Name | Sacheen King |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1639492531 PECOS PAC ID: 7416368790 Enrollment ID: I20201117001155 |
Provider Name | Maristela Nabong-nillas |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1629155338 PECOS PAC ID: 9436214574 Enrollment ID: I20201214002084 |
Provider Name | James Conkle |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861709537 PECOS PAC ID: 9335311398 Enrollment ID: I20210104001758 |
Provider Name | Veronica Natalie Erivez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780287532 PECOS PAC ID: 2668885971 Enrollment ID: I20210105003344 |
Provider Name | Romeo Nillas |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1922055722 PECOS PAC ID: 3678514056 Enrollment ID: I20210114002172 |
Provider Name | Christine Rejdukowski |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1487622411 PECOS PAC ID: 6800202110 Enrollment ID: I20210311002024 |
Provider Name | Rachel Pierre-chery |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902207491 PECOS PAC ID: 5294144796 Enrollment ID: I20210513002034 |
Provider Name | Kristen Rihawi |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124661707 PECOS PAC ID: 3971938374 Enrollment ID: I20210727003430 |
Provider Name | Nadia Yuhya |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1134613888 PECOS PAC ID: 9739583899 Enrollment ID: I20210811002204 |
Provider Name | Tammy Frances Quibell Greenfield |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184297533 PECOS PAC ID: 4183029325 Enrollment ID: I20210825003295 |
Provider Name | Ymaliz Ramirez |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1679004790 PECOS PAC ID: 1052686607 Enrollment ID: I20210826001803 |
Provider Name | Cynthia Flores Cruz |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1659965390 PECOS PAC ID: 8426454703 Enrollment ID: I20210913000982 |
Provider Name | Kyndra Liburd |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1942798368 PECOS PAC ID: 1557617990 Enrollment ID: I20210916001398 |
Provider Name | Briauna Ramirez |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1831760610 PECOS PAC ID: 2860880515 Enrollment ID: I20211101001830 |
Provider Name | Hannah R Gammage |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346811155 PECOS PAC ID: 5890186829 Enrollment ID: I20211229000862 |
Provider Name | Esther Marie Bustamante |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1578058582 PECOS PAC ID: 7618368531 Enrollment ID: I20220103000011 |
Provider Name | Eugene Adel |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1609301621 PECOS PAC ID: 3870857246 Enrollment ID: I20220119002015 |
Provider Name | Jennifer Tow |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689328197 PECOS PAC ID: 6204221609 Enrollment ID: I20220322001853 |
Provider Name | Zakera Nanabawa |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1336370188 PECOS PAC ID: 6002048196 Enrollment ID: I20220323002524 |
Provider Name | Anthony Slade |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1639557341 PECOS PAC ID: 8628463783 Enrollment ID: I20220328001782 |
Provider Name | Samantha Ellen Fullmer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265031496 PECOS PAC ID: 5698153005 Enrollment ID: I20220525001930 |
Provider Name | Heather Renae Taylor |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548900921 PECOS PAC ID: 0749668085 Enrollment ID: I20220527001430 |
Provider Name | Alysia Jimenez |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1871268300 PECOS PAC ID: 5698154128 Enrollment ID: I20220614000835 |
Provider Name | Ryan Scholes |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1952048365 PECOS PAC ID: 9739569666 Enrollment ID: I20220708002113 |
Provider Name | Gaurav Aggarwal |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1093278731 PECOS PAC ID: 1153704903 Enrollment ID: I20220811003278 |
Provider Name | Nia Suzanne Pellone |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1083108476 PECOS PAC ID: 3072998996 Enrollment ID: I20220913003532 |
Provider Name | Ibtehal Ahmed |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1174085880 PECOS PAC ID: 0446636062 Enrollment ID: I20221005003388 |
Provider Name | Maili Batista |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1235466491 PECOS PAC ID: 3072989334 Enrollment ID: I20221012001688 |
Provider Name | April Renee Fatina |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437819943 PECOS PAC ID: 4284000167 Enrollment ID: I20221018000871 |
Provider Name | Lauren Marie Camacho |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1861962466 PECOS PAC ID: 8729456413 Enrollment ID: I20221130003495 |
Provider Name | Nassali Mugwanya |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1205299351 PECOS PAC ID: 0749659613 Enrollment ID: I20221215001929 |
Provider Name | Ryan Elisabeth Romo |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1063974590 PECOS PAC ID: 9335474337 Enrollment ID: I20230117000978 |
Provider Name | Paula Rae Piccoli |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881306611 PECOS PAC ID: 9739550377 Enrollment ID: I20230119000358 |
Provider Name | Brenda Graziano |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1407576721 PECOS PAC ID: 4284006040 Enrollment ID: I20230206000612 |
Provider Name | Andy Chen |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1659082089 PECOS PAC ID: 8325410095 Enrollment ID: I20230206001269 |
Provider Name | Michelle Lenee Hill |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245944255 PECOS PAC ID: 2062885254 Enrollment ID: I20230309001150 |
Provider Name | Merlie Mercado-quinones |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346679701 PECOS PAC ID: 4981836491 Enrollment ID: I20230418001082 |
Provider Name | Tiana S King |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821799974 PECOS PAC ID: 8921463761 Enrollment ID: I20230428002711 |
Provider Name | Tiana Elizabeth Roth |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548982523 PECOS PAC ID: 8921463555 Enrollment ID: I20230503001767 |
Provider Name | Matthew Mai |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1023719952 PECOS PAC ID: 8224494141 Enrollment ID: I20230519000501 |
Provider Name | Stefanie Jeanette Outram |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992421218 PECOS PAC ID: 1951767532 Enrollment ID: I20230524001958 |
Provider Name | Paige Elizabeth Bethke |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1962197350 PECOS PAC ID: 9739546243 Enrollment ID: I20230526001237 |
Provider Name | John Mark Fuhrman |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1912389651 PECOS PAC ID: 1052628518 Enrollment ID: I20230531003072 |
Provider Name | Amanda Rae Nelson |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1952022725 PECOS PAC ID: 1557729639 Enrollment ID: I20230621003592 |
Provider Name | Carla Robles Perea |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1609516681 PECOS PAC ID: 8123487527 Enrollment ID: I20230703001733 |
Provider Name | Dustin Durham |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1740694397 PECOS PAC ID: 7810119294 Enrollment ID: I20230712004194 |
Provider Name | Zulema C Guerrero |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1790377893 PECOS PAC ID: 9830543164 Enrollment ID: I20230920002917 |
Provider Name | Denna Zayed |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154005163 PECOS PAC ID: 6406200500 Enrollment ID: I20230922002676 |
Provider Name | Jenny Sanchez |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1932980760 PECOS PAC ID: 8527414291 Enrollment ID: I20231101001451 |
Provider Name | Brendan Beggs |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1144478835 PECOS PAC ID: 0042668790 Enrollment ID: I20231120000334 |
Provider Name | William Rosenfeld |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1306806633 PECOS PAC ID: 0941658694 Enrollment ID: I20231120000388 |
Provider Name | Rheanna Schmidt |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1003577123 PECOS PAC ID: 0648628396 Enrollment ID: I20231120000525 |
Provider Name | Stephen Serrato |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1366069791 PECOS PAC ID: 6406204189 Enrollment ID: I20231120001662 |
Provider Name | Danielle N Eng |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1881355576 PECOS PAC ID: 6608224217 Enrollment ID: I20231120003611 |
Provider Name | Jonneth Santschi |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1134385834 PECOS PAC ID: 4981052511 Enrollment ID: I20231121000824 |
Provider Name | Jessica Koh |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1780129981 PECOS PAC ID: 9436507001 Enrollment ID: I20231121002221 |
Provider Name | Candy Zammit |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1811547441 PECOS PAC ID: 1658729777 Enrollment ID: I20231130001742 |
Provider Name | Marina Jazmin Galindo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184406126 PECOS PAC ID: 8022467828 Enrollment ID: I20231205002609 |
Provider Name | Michelle Gordon |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326768904 PECOS PAC ID: 5395114565 Enrollment ID: I20231207003399 |
Provider Name | Sumer Marney |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1427519479 PECOS PAC ID: 5991154387 Enrollment ID: I20231211001992 |
Provider Name | Kathleen Hogarty |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1740446186 PECOS PAC ID: 8426454190 Enrollment ID: I20231215000821 |
Provider Name | Monica Reps |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1700330412 PECOS PAC ID: 5799135794 Enrollment ID: I20240102003843 |
Provider Name | Maureen Bridget Heier |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1962123240 PECOS PAC ID: 0941651954 Enrollment ID: I20240103004181 |
Provider Name | Bianca Chavez |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1932788791 PECOS PAC ID: 4486005410 Enrollment ID: I20240103004728 |
Provider Name | Adra Helmich |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1750836631 PECOS PAC ID: 8123479185 Enrollment ID: I20240104000756 |
Provider Name | Crystal Marie Thomson |
---|---|
Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1699375030 PECOS PAC ID: 6002267911 Enrollment ID: I20240104002929 |
Provider Name | Marc E Bagnasco |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1700969011 PECOS PAC ID: 4688025281 Enrollment ID: I20240108006092 |
Provider Name | Shea Turk |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1295456580 PECOS PAC ID: 2163873423 Enrollment ID: I20240111000005 |
Provider Name | Erin Marie Kloster |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467231290 PECOS PAC ID: 6305297508 Enrollment ID: I20240112000530 |
Provider Name | Kimberly Coker |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1720786262 PECOS PAC ID: 6709237803 Enrollment ID: I20240112000718 |
Provider Name | Marketta Roberts |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134651276 PECOS PAC ID: 7416234810 Enrollment ID: I20240206004542 |
Provider Name | Emilie Ann Christman |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1568042653 PECOS PAC ID: 2264875012 Enrollment ID: I20240208001194 |
Provider Name | Kelly Creed |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1013771286 PECOS PAC ID: 4587001383 Enrollment ID: I20240327003888 |
Provider Name | Barbara Jane Wallner |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548344856 PECOS PAC ID: 7012217433 Enrollment ID: I20240402002642 |
Provider Name | Derrick Lynn Byrd |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1457856940 PECOS PAC ID: 0840630455 Enrollment ID: I20240430002261 |
Provider Name | Jennifer Nicole Rivera |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1740033729 PECOS PAC ID: 5890135289 Enrollment ID: I20240502001363 |
Provider Name | Rebecca Soriano |
---|---|
Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1194060293 PECOS PAC ID: 1759722846 Enrollment ID: I20240507001795 |
Provider Name | Laura A Solt |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1245501840 PECOS PAC ID: 4688809247 Enrollment ID: I20240508003381 |
Wha Medical Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 108 N Frontier St, Wickenburg, AZ 85390 Phone: 928-684-7255 | |
Anu Hospitalist Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 520 Rose Ln, Wickenburg, AZ 85390 Phone: 702-453-3799 | |
Community Hospital Clinic - Wickenburg Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 523 Rose Ln, Wickenburg, AZ 85390 Phone: 928-668-1833 Fax: 928-684-7457 | |
Sun Health Wickenburg Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1395 W Wickenburg Way, Wickenburg, AZ 85390 Phone: 928-684-5428 Fax: 928-684-7457 | |
Miller Clinic Ltd Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 500 Savage St, Wickenburg, AZ 85390 Phone: 928-684-2425 Fax: 928-684-0387 | |
Nvs Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1175 W Wickenburg Way Ste 4, Wickenburg, AZ 85390 Phone: 928-684-7255 Fax: 928-684-7299 |