Aleracare Aic Llc | |
4045 E Bell Rd Ste 157 Phoenix AZ 85032-2240 | |
(888) 209-8874 | |
Not Available |
Full Name | Aleracare Aic Llc |
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Speciality | Clinic/Center |
Location | 4045 E Bell Rd Ste 157, Phoenix, Arizona |
Authorized Official Name and Position | Scott Friedman (EXECUTIVE VICE PRESIDENT OF SALES) |
Authorized Official Contact | 4807162399 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Aleracare Aic Llc 4045 E Bell Rd Ste 157 Phoenix AZ 85032-2240 Ph: (602) 346-0204 | Aleracare Aic Llc 4045 E Bell Rd Ste 157 Phoenix AZ 85032-2240 Ph: (888) 209-8874 |
NPI Number | 1124735063 |
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Provider Enumeration Date | 10/31/2022 |
Last Update Date | 09/04/2024 |
Medicare PECOS PAC ID | 8325419005 |
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Medicare Enrollment ID | O20230116000785 |
Identifier | Type | State | Issuer |
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1124735063 | NPI | - | NPPES |
Provider Name | Ashvin K Shah |
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Provider Type | Practitioner - Pulmonary Disease |
Provider Identifiers | NPI Number: 1013015270 PECOS PAC ID: 3870559271 Enrollment ID: I20041207001283 |
Provider Name | Kenneth O Anaeme |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1386618650 PECOS PAC ID: 5799711107 Enrollment ID: I20050715000920 |
Provider Name | Karen M Jamison |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760455018 PECOS PAC ID: 5991732521 Enrollment ID: I20050725001165 |
Provider Name | Timothy J Burns |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1245277243 PECOS PAC ID: 2365457330 Enrollment ID: I20060308000426 |
Provider Name | Jamie G Vega |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669862314 PECOS PAC ID: 6800113697 Enrollment ID: I20150314000354 |
Provider Name | Kiara Shanee Deem |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447627856 PECOS PAC ID: 3971806480 Enrollment ID: I20160115001720 |
Provider Name | Gina Montano |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902276124 PECOS PAC ID: 5698071231 Enrollment ID: I20160308002803 |
Provider Name | Lisa Marie Land |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083078349 PECOS PAC ID: 9638468499 Enrollment ID: I20160517002577 |
Provider Name | Conrad Lizarraga Cordova |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215382460 PECOS PAC ID: 0840580650 Enrollment ID: I20161020000431 |
Provider Name | Megan Bermudez |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104377506 PECOS PAC ID: 5395020648 Enrollment ID: I20170329000023 |
Provider Name | Alexander Yates |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306373022 PECOS PAC ID: 2668746637 Enrollment ID: I20170914003911 |
Provider Name | Adam S Leon |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205361078 PECOS PAC ID: 8426314311 Enrollment ID: I20171109000690 |
Provider Name | Stacey Ferguson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922518265 PECOS PAC ID: 5597021030 Enrollment ID: I20171115003748 |
Provider Name | Jenifer Clark |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1841703287 PECOS PAC ID: 0143589481 Enrollment ID: I20180112002262 |
Provider Name | Maria Cristina A De Souza |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1689602393 PECOS PAC ID: 8426365917 Enrollment ID: I20181214002036 |
Provider Name | Suzanne Roberta Weinrich |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053881862 PECOS PAC ID: 2860733623 Enrollment ID: I20190404002849 |
Provider Name | Mireya Monique Amador |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215590922 PECOS PAC ID: 6406185321 Enrollment ID: I20190902000028 |
Provider Name | Veronica Rodriguez-romero |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629539317 PECOS PAC ID: 7618300864 Enrollment ID: I20191203000733 |
Provider Name | Hayley Madler |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750995858 PECOS PAC ID: 8921426354 Enrollment ID: I20200916001248 |
Provider Name | Shay L Davis |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356967020 PECOS PAC ID: 6406274802 Enrollment ID: I20200917000303 |
Provider Name | Heidi M Nida-huff |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669087599 PECOS PAC ID: 2769892900 Enrollment ID: I20201029001498 |
Provider Name | Jodi Elizabeth Harrington |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679118558 PECOS PAC ID: 2668809831 Enrollment ID: I20201210002306 |
Provider Name | Kristen A Fleury |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639310980 PECOS PAC ID: 7113335704 Enrollment ID: I20210420002182 |
Provider Name | Jasma M Dydell |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639623812 PECOS PAC ID: 6305132069 Enrollment ID: I20210701001857 |
Provider Name | Elissa Marie Brooks |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952971590 PECOS PAC ID: 0042614976 Enrollment ID: I20210813001941 |
Provider Name | Emily Geiser |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134731144 PECOS PAC ID: 2365849742 Enrollment ID: I20210928001583 |
Provider Name | Deborah R Davis |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235120445 PECOS PAC ID: 5092736512 Enrollment ID: I20211118001215 |
Provider Name | Camille J Donque |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184399354 PECOS PAC ID: 4284024332 Enrollment ID: I20211202003142 |
Provider Name | Yuda Davydov |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366192569 PECOS PAC ID: 6002203619 Enrollment ID: I20220429001293 |
Provider Name | Desirae Rathbone |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720721392 PECOS PAC ID: 1951789320 Enrollment ID: I20220526001312 |
Provider Name | Lilyne Michele Mekoudjou Tchakonte |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528736360 PECOS PAC ID: 6305220690 Enrollment ID: I20220906002115 |
Provider Name | Lindsey Danielson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881156826 PECOS PAC ID: 6406277318 Enrollment ID: I20230522001270 |
Provider Name | Berenice Jeacel Espinoza |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063143790 PECOS PAC ID: 6901263169 Enrollment ID: I20230601003161 |
Provider Name | Krista Marie Jeddi |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568151330 PECOS PAC ID: 0042671109 Enrollment ID: I20230804003220 |
Provider Name | Amy Michelle Jacobson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922797075 PECOS PAC ID: 8123480464 Enrollment ID: I20230817002585 |
Provider Name | Natalie Waller |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942915137 PECOS PAC ID: 6507228160 Enrollment ID: I20231102001984 |
Provider Name | Marci Lynn Hageman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861071532 PECOS PAC ID: 7214383801 Enrollment ID: I20231102002869 |
Provider Name | Lauren Osbourne |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790476299 PECOS PAC ID: 5597112904 Enrollment ID: I20231107001686 |
Provider Name | Jennifer Davidson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730762345 PECOS PAC ID: 9133520273 Enrollment ID: I20231222001878 |
Provider Name | Shelly Ann Parker |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689156671 PECOS PAC ID: 8921448929 Enrollment ID: I20240424001753 |
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