| Prioritycare@home | |
|
585 N Juniper Dr Ste 200 Chandler AZ 85226-2559 | |
| (520) 374-2090 | |
| (520) 876-0483 |
| Full Name | Prioritycare@home |
|---|---|
| Speciality | Family Medicine |
| Location | 585 N Juniper Dr Ste 200, Chandler, Arizona |
| Authorized Official Name and Position | Terry Smith (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 4804998790 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Prioritycare@home 585 N Juniper Dr Ste 200 Chandler AZ 85226-2559 Ph: (480) 499-8790 | Prioritycare@home 585 N Juniper Dr Ste 200 Chandler AZ 85226-2559 Ph: (520) 374-2090 |
| NPI Number | 1841696432 |
|---|---|
| Provider Enumeration Date | 11/10/2014 |
| Last Update Date | 04/29/2022 |
| Medicare PECOS PAC ID | 0648659276 |
|---|---|
| Medicare Enrollment ID | O20220628000829 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841696432 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Greg Buot Alaestante |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710247887 PECOS PAC ID: 1254657133 Enrollment ID: I20150630002488 |
| Provider Name | Rhodalyn Castelo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093167686 PECOS PAC ID: 2567750938 Enrollment ID: I20161018001669 |
| Provider Name | Barbara Antol-dlugopolski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437576642 PECOS PAC ID: 5395066229 Enrollment ID: I20200207000684 |
| Provider Name | Brittney Schneider |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669825469 PECOS PAC ID: 4981032133 Enrollment ID: I20220629002938 |
| Provider Name | Pawan A Dhawan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073560702 PECOS PAC ID: 3870569569 Enrollment ID: I20221214000827 |
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