Athena Medical Group - Medicare Primary Care in Phoenix, AZ

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Athena Medical Group is a medicare enrolled primary clinic (Family Medicine - Adult Medicine) in Phoenix, Arizona. The current practice location for Athena Medical Group is 16515 S 40th St Ste 143, Phoenix, Arizona. For appointments, you can reach them via phone at (480) 712-8319. The mailing address for Athena Medical Group is 16515 S 40th St Ste 143, Phoenix, Arizona and phone number is (480) 712-8319.

Athena Medical Group is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1164918124. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (480) 712-8319.

Contact Information

Athena Medical Group
16515 S 40th St Ste 143
Phoenix
AZ 85048-0560
(480) 712-8319
(480) 712-1305

Map and Direction


Primary Care Clinic Profile

Full NameAthena Medical Group
SpecialityFamily Medicine
Location16515 S 40th St Ste 143, Phoenix, Arizona
Authorized Official Name and PositionYancey Scott Gaither (MANAGING PARTNER)
Authorized Official Contact4807128319
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Athena Medical Group
16515 S 40th St Ste 143
Phoenix
AZ 85048-0560

Ph: (480) 712-8319		Athena Medical Group
16515 S 40th St Ste 143
Phoenix
AZ 85048-0560

Ph: (480) 712-8319

NPI Details:

NPI Number1164918124
Provider Enumeration Date07/02/2018
Last Update Date08/20/2024

Medicare PECOS Information:

Medicare PECOS PAC ID8921358706
Medicare Enrollment IDO20180829003049

Medical Identifiers

Medical identifiers for Athena Medical Group such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164918124NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207QA0505XFamily Medicine - Adult Medicine (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Athena Medical Group acts as a billing entity for following providers:
Provider NameNana Nketiah Dwomoh
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1568428431
PECOS PAC ID: 0648297028
Enrollment ID: I20051025000635
Provider NameBertha Dolly Sugerman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1952474033
PECOS PAC ID: 5597836569
Enrollment ID: I20081105000882
Provider NameNancy E Kowalski
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1821249780
PECOS PAC ID: 8729148002
Enrollment ID: I20081117000186
Provider NameHeather A Mullenberg
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1801145313
PECOS PAC ID: 8224289376
Enrollment ID: I20121119000348
Provider NameCharlene F Baldwin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1033546411
PECOS PAC ID: 2961628292
Enrollment ID: I20140730002884
Provider NameRenee Yvonne Kellems
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1659746071
PECOS PAC ID: 6002118866
Enrollment ID: I20160111001826
Provider NameDiana Mccully
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1972973022
PECOS PAC ID: 5991002834
Enrollment ID: I20160321002023
Provider NameVicky L Davis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1134171572
PECOS PAC ID: 1052361136
Enrollment ID: I20160909002012
Provider NameMarianne Nga Parham
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1679876031
PECOS PAC ID: 2062708357
Enrollment ID: I20160913001959
Provider NameTeresa Marie Gaither
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1568835890
PECOS PAC ID: 9931480985
Enrollment ID: I20170105000804
Provider NameSanna Neff
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1083150205
PECOS PAC ID: 4789969858
Enrollment ID: I20170403000763
Provider NameTyler Ann Brockhoff
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1003347147
PECOS PAC ID: 6406132778
Enrollment ID: I20170421000681
Provider NameJonathan Glenn Harris
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1407381189
PECOS PAC ID: 8527330596
Enrollment ID: I20170825001772
Provider NameTara M Thompson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1235652942
PECOS PAC ID: 6305104563
Enrollment ID: I20171215000744
Provider NameChelsea Barson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1407220676
PECOS PAC ID: 9931400520
Enrollment ID: I20171219000632
Provider NameRonald Rodriguez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1114426012
PECOS PAC ID: 9335400738
Enrollment ID: I20180227003134
Provider NameAndrea Kessler
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1144783952
PECOS PAC ID: 7012240310
Enrollment ID: I20190530003035
Provider NameJavier Gomez
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1720196801
PECOS PAC ID: 7012242555
Enrollment ID: I20190705000581
Provider NameSara Dyane Ingram
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1225597727
PECOS PAC ID: 2567798218
Enrollment ID: I20190801002756
Provider NameAshlee Garcia
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1508428004
PECOS PAC ID: 6507198355
Enrollment ID: I20191028001029
Provider NameRazel Espiritu Hernandez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1265096895
PECOS PAC ID: 4486086501
Enrollment ID: I20191112000142
Provider NameKelli K Ducray
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1306338736
PECOS PAC ID: 0143571026
Enrollment ID: I20191210002210
Provider NameBrenda Lea Baker
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1376997130
PECOS PAC ID: 5799078408
Enrollment ID: I20200127000500
Provider NameLisa Wakefield
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1043832264
PECOS PAC ID: 8224452610
Enrollment ID: I20200717001718
Provider NameJennifer Otterbein
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1467425751
PECOS PAC ID: 8729042338
Enrollment ID: I20201020000267
Provider NameHannah Leslie
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1629595095
PECOS PAC ID: 1951676352
Enrollment ID: I20201124002106
Provider NameIlka Mayela Moreno
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1396343430
PECOS PAC ID: 1951713791
Enrollment ID: I20201218001585
Provider NameCora-lee Behling
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1851961312
PECOS PAC ID: 8325446099
Enrollment ID: I20211011001019
Provider NameZaida N Zuniga
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558869099
PECOS PAC ID: 3577826064
Enrollment ID: I20211013002199
Provider NameDeborah A Gorombei
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1194492306
PECOS PAC ID: 1557750262
Enrollment ID: I20211118002774
Provider NameDanielle Nathina Sears
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1174279509
PECOS PAC ID: 7618363649
Enrollment ID: I20220331000453
Provider NameJessica M Johnson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1619633211
PECOS PAC ID: 7214324276
Enrollment ID: I20220422000460
Provider NameTaylor Bryce Mitchell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1881333110
PECOS PAC ID: 0648655563
Enrollment ID: I20220913003413
Provider NameMegan Gerene Vettorel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1215659644
PECOS PAC ID: 3476929084
Enrollment ID: I20221024001791
Provider NameShambre Chambers
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1992246763
PECOS PAC ID: 8527345180
Enrollment ID: I20230103001918
Provider NameJoy Pollard-stoiber
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1588392336
PECOS PAC ID: 1557731528
Enrollment ID: I20230109001138
Provider NameKristin S Landavazo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1598420846
PECOS PAC ID: 9638535081
Enrollment ID: I20230510001183
Provider NameCharlote Holcomb
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1538835699
PECOS PAC ID: 5991161119
Enrollment ID: I20230515000282
Provider NameEddie Franklin Forehand
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1275203325
PECOS PAC ID: 5890149074
Enrollment ID: I20230921001058
Provider NameMichelle Raney
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558058644
PECOS PAC ID: 4486008588
Enrollment ID: I20230922002754
Provider NameValentina None Scalzullo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1457053456
PECOS PAC ID: 9335593441
Enrollment ID: I20230922003024
Provider NameAllison Putt
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1679356083
PECOS PAC ID: 6406203645
Enrollment ID: I20231109003288

Reviews and Comments


Family Medicine in Phoenix, AZ

Richard A. Snider, Md, Pc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 12010 S Warner Elliot Loop, Phoenix, AZ 85044
Phone: 480-893-2644    
Kelly H. Roy, Md, Pc
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 1008 E Mcdowell Rd, Phoenix, AZ 85006
Phone: 602-358-8588    Fax: 602-688-6991
My Family Doctor In The Valley Pllc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 11030 N Tatum Blvd, Ste 101, Phoenix, AZ 85028
Phone: 602-687-8265    
Deborah L Dykema Do Pc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 20045 N 19th Ave Bldg 9-151, Phoenix, AZ 85027
Phone: 602-978-1555    
Scottsdale Housecall Physicians, Llc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 11030 N Tatum Blvd Ste 101, Phoenix, AZ 85028
Phone: 602-687-8265    
Wings Of Hope Medical Services, Llc
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 11022 N 28th Dr Ste 205, Phoenix, AZ 85029
Phone: 602-971-0304    Fax: 602-971-0305
Sheperd Care
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 9150 W Indian School Rd Ste 111b, Phoenix, AZ 85037
Phone: 623-247-2300    Fax: 623-247-1939

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.