| Agassiz Family Medicine | |
|
417 N Agassiz St Bldg #1 Flagstaff AZ 86001-3282 | |
| (928) 779-6169 | |
| (928) 779-4200 |
| Full Name | Agassiz Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 417 N Agassiz St, Flagstaff, Arizona |
| Authorized Official Name and Position | Mark Vincent Seby (PHYSICIAN) |
| Authorized Official Contact | 9287796169 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Agassiz Family Medicine 417 N Agassiz St Bldg #1 Flagstaff AZ 86001-3282 Ph: (928) 779-6169 | Agassiz Family Medicine 417 N Agassiz St Bldg #1 Flagstaff AZ 86001-3282 Ph: (928) 779-6169 |
| NPI Number | 1477726222 |
|---|---|
| Provider Enumeration Date | 04/11/2008 |
| Last Update Date | 12/30/2010 |
| Medicare PECOS PAC ID | 2567454341 |
|---|---|
| Medicare Enrollment ID | O20040401000249 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477726222 | NPI | - | NPPES |
| 080008588 | Other | AZ | RAILROAD MEDICARE |
| 5447372 | Other | AZ | AETNA |
| 87726 | Other | AZ | UNITED HEALTHCARE |
| 3323257 | Other | AZ | CIGNA |
| 1Z8845 | Other | AZ | HEALTHNET AZ |
| 188857300 | Other | AZ | US DEPT OF LABOR |
| 23957601 | Medicaid | AZ | |
| 71412 | Other | AZ | MUTUAL OF OMAHA |
| AZ0021730 | Other | AZ | BLUE CROSS BLUE SHIELD AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | AZ11476 (Arizona) | Primary |
| Provider Name | Mark V Seby |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649277492 PECOS PAC ID: 8628060407 Enrollment ID: I20040901000639 |
North Country Healthcare-ponderosa Hs Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2384 N Steves Blvd, Flagstaff, AZ 86004 Phone: 928-522-9410 Fax: 928-522-9411 | |
Aspen Family Medicine Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2912 N West St, Flagstaff, AZ 86004 Phone: 928-774-3627 Fax: 927-774-1400 | |
Ryan Internal Medicine Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 107 E Oak Ave, Suite 202, Flagstaff, AZ 86001 Phone: 928-773-2560 Fax: 928-913-8835 | |
Vasco Healthcare Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 930 N Switzer Canyon Dr Ste 201, Flagstaff, AZ 86001 Phone: 602-346-0204 | |
Native Americans For Community Action, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1500 E Cedar Ave, Ste 26, Flagstaff, AZ 86004 Phone: 928-773-1245 Fax: 928-773-9429 | |
North Country Healthcare Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2920 N 4th St, Flagstaff, AZ 86004 Phone: 928-213-6121 Fax: 928-774-6687 | |
North Country Healthcare, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2920 N. 4th Street, Flagstaff, AZ 86004 Phone: 928-522-9400 Fax: 928-774-6687 |