| Agave Adult Medical Care, Llc | |
|
70 Bell Rock Plz Ste C Sedona AZ 86351-9066 | |
| (315) 717-7898 | |
| Not Available |
| Full Name | Agave Adult Medical Care, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 70 Bell Rock Plz Ste C, Sedona, Arizona |
| Authorized Official Name and Position | Chascity Monroe (NP/AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 3157177898 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Agave Adult Medical Care, Llc 70 Bell Rock Plz Ste C Sedona AZ 86351-9066 Ph: (928) 284-2658 | Agave Adult Medical Care, Llc 70 Bell Rock Plz Ste C Sedona AZ 86351-9066 Ph: (315) 717-7898 |
| NPI Number | 1861153579 |
|---|---|
| Provider Enumeration Date | 01/05/2022 |
| Last Update Date | 12/27/2023 |
| Medicare PECOS PAC ID | 0749674117 |
|---|---|
| Medicare Enrollment ID | O20220301000266 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861153579 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | (* (Not Available)) | Primary |
| 2085R0202X | Radiology - Diagnostic Radiology | (* (Not Available)) | Secondary |
| Provider Name | Chascity L Monroe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245743418 PECOS PAC ID: 8123387446 Enrollment ID: I20180112001088 |
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