| Apurva Advanced Medical Care | |
|
722 N Montezuma St Prescott AZ 86301-2002 | |
| (928) 237-9000 | |
| (928) 237-9011 |
| Full Name | Apurva Advanced Medical Care |
|---|---|
| Speciality | Internal Medicine |
| Location | 722 N Montezuma St, Prescott, Arizona |
| Authorized Official Name and Position | Ajith Purush (MEMBER) |
| Authorized Official Contact | 9287101533 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Apurva Advanced Medical Care 722 N Montezuma St Prescott AZ 86301-2002 Ph: (928) 237-9000 | Apurva Advanced Medical Care 722 N Montezuma St Prescott AZ 86301-2002 Ph: (928) 237-9000 |
| NPI Number | 1487967519 |
|---|---|
| Provider Enumeration Date | 07/18/2010 |
| Last Update Date | 11/16/2020 |
| Medicare PECOS PAC ID | 0941494785 |
|---|---|
| Medicare Enrollment ID | O20101105000110 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487967519 | NPI | - | NPPES |
| P00217872 | Other | AZ | RR MEDICARE |
| Provider Name | Ajith Purush |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1699761437 PECOS PAC ID: 9335192699 Enrollment ID: I20050225000794 |
| Provider Name | Virginia I Greene |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760758981 PECOS PAC ID: 4587989355 Enrollment ID: I20150219001147 |
| Provider Name | Tess Barnes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457705154 PECOS PAC ID: 3577824184 Enrollment ID: I20180222001235 |
| Provider Name | Kristen Elizabeth Reiter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528638418 PECOS PAC ID: 4385046341 Enrollment ID: I20210713002562 |
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