- Medicare Primary Care in Douglas, AZ

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is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Douglas, Arizona. The current practice location for is 1205 F. Avenue, Douglas, Arizona. For appointments, you can reach them via phone at (520) 364-1429. The mailing address for is 1205 F Ave, Douglas, Arizona and phone number is (520) 364-1429.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1942241443. 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 (520) 364-1429.

Contact Information

1205 F. Avenue
Douglas
AZ 85607
(520) 364-1429
(520) 364-4261

Map and Direction


Primary Care Clinic Profile

Full Name
SpecialityClinic/Center
Location1205 F. Avenue, Douglas, Arizona
Authorized Official Name and PositionJonathan Melk (CEO)
Authorized Official Contact5203641429
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address

1205 F Ave
Douglas
AZ 85607-1920

Ph: (520) 364-1429
1205 F. Avenue
Douglas
AZ 85607

Ph: (520) 364-1429

NPI Details:

NPI Number1942241443
Provider Enumeration Date06/08/2006
Last Update Date02/08/2017

Medicare PECOS Information:

Medicare PECOS PAC ID5395638878
Medicare Enrollment IDO20040206000860

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1942241443NPI-NPPES
433053MedicaidAZ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QF0400XClinic/center - Federally Qualified Health Center (fqhc) (* (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. acts as a billing entity for following providers:
Provider NameKathleen J Vedock
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1235103508
PECOS PAC ID: 4082506001
Enrollment ID: I20040325001276
Provider NameCarter C Mayberry
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1295777308
PECOS PAC ID: 9638064231
Enrollment ID: I20050510000654
Provider NameDarlene R Melk
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1578523338
PECOS PAC ID: 4587693957
Enrollment ID: I20050805000397
Provider NameAndrew W Mayberry
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1629019260
PECOS PAC ID: 4385657014
Enrollment ID: I20060726000029
Provider NameJonathan P Melk
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1568496164
PECOS PAC ID: 4385647775
Enrollment ID: I20060920000052
Provider NameDia C Madden
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1215241518
PECOS PAC ID: 2668667122
Enrollment ID: I20101109001574
Provider NameMilla S Rosen
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1144289760
PECOS PAC ID: 8820285885
Enrollment ID: I20101203000418
Provider NameElizabeth M Fabry
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1780685370
PECOS PAC ID: 3779766381
Enrollment ID: I20110318000830
Provider NameTammy L Posey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1760784342
PECOS PAC ID: 2567613482
Enrollment ID: I20121127000068
Provider NameSteven Kenneth Dahlke
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1710976337
PECOS PAC ID: 5496908295
Enrollment ID: I20150515001286
Provider NameTamika M Sullivan
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1770814790
PECOS PAC ID: 0143444851
Enrollment ID: I20150724010804
Provider NameNori Ruo
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1710922018
PECOS PAC ID: 7113232604
Enrollment ID: I20150812008395
Provider NameDevyn Rene Thurber
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255707352
PECOS PAC ID: 1951619816
Enrollment ID: I20150928000368
Provider NameKerstin P Hurley
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1710342043
PECOS PAC ID: 7911203062
Enrollment ID: I20160315002874
Provider NameKarina C Bechtold
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1598129454
PECOS PAC ID: 5597064204
Enrollment ID: I20160502001731
Provider NameTonya L Johnson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1679825152
PECOS PAC ID: 7214152206
Enrollment ID: I20160725001700
Provider NameEduardo A Marrero Velis
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1144560160
PECOS PAC ID: 3476841818
Enrollment ID: I20161018000627
Provider NameClaudia Patricia Pleitez Tecun
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1710388954
PECOS PAC ID: 1557665106
Enrollment ID: I20161018002585
Provider NamePamela Catherine Oliphant
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1174072326
PECOS PAC ID: 1658650882
Enrollment ID: I20161110002565
Provider NameRebecca A Lamas
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1467972133
PECOS PAC ID: 1951671247
Enrollment ID: I20170719002113
Provider NameTandie T Myles
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1528418423
PECOS PAC ID: 8820360555
Enrollment ID: I20170815004623
Provider NameJeffrey Richard Holzberg
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1235556168
PECOS PAC ID: 7416279237
Enrollment ID: I20170914002407
Provider NameJennifer H Smith
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1366601932
PECOS PAC ID: 5991830499
Enrollment ID: I20180221001791
Provider NameChelsey M Housley
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1467954594
PECOS PAC ID: 3870855190
Enrollment ID: I20180327001399
Provider NameChristine R Grassman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1689111817
PECOS PAC ID: 1052676939
Enrollment ID: I20180523002741
Provider NameDaniel A Driscoll
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1689744591
PECOS PAC ID: 2365480019
Enrollment ID: I20180730000258
Provider NameJennifer Schafer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1245726447
PECOS PAC ID: 4587912670
Enrollment ID: I20180806003163
Provider NameKatrina L Ventura-morano
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1396127742
PECOS PAC ID: 3678823069
Enrollment ID: I20180905003451
Provider NameKayla Rose Percy
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1134698160
PECOS PAC ID: 5092055707
Enrollment ID: I20190320000122
Provider NameGustavo Durazo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1427600782
PECOS PAC ID: 4385078799
Enrollment ID: I20191217003291
Provider NamePaula B Bird
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1144593997
PECOS PAC ID: 5193150167
Enrollment ID: I20200121002561
Provider NameRebekah E Charry
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1821650201
PECOS PAC ID: 8527492271
Enrollment ID: I20200204002274
Provider NameKara Joy Merrell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1811527708
PECOS PAC ID: 4082037809
Enrollment ID: I20200710002993
Provider NameMary Emilia Fairbanks
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1457360406
PECOS PAC ID: 6507817350
Enrollment ID: I20200817000653
Provider NameCourtney Schinner
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1972110948
PECOS PAC ID: 8325467533
Enrollment ID: I20201007000801
Provider NameTawnya R Smith
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1477836971
PECOS PAC ID: 4486933199
Enrollment ID: I20210326001986
Provider NameGlenn David Tanita
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1669632006
PECOS PAC ID: 6002705977
Enrollment ID: I20211124001606
Provider NameHeather L Kinder
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1295240885
PECOS PAC ID: 3870983349
Enrollment ID: I20211124001746
Provider NameKirsten Nicole Mellott
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1891368452
PECOS PAC ID: 7012312978
Enrollment ID: I20211208002953
Provider NameConnie S Herrera
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1932691060
PECOS PAC ID: 6608128251
Enrollment ID: I20211216000748
Provider NameJonathan Howell Rutherford
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154091932
PECOS PAC ID: 1456744341
Enrollment ID: I20220217002193
Provider NameVictoria L Ochoa
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1841946183
PECOS PAC ID: 0042607541
Enrollment ID: I20220520001274
Provider NameGino Jose Bardi Lola
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1700230109
PECOS PAC ID: 3971830464
Enrollment ID: I20220615001320
Provider NameChine Quetzalcoatl Tan Myers
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1295453165
PECOS PAC ID: 5698151967
Enrollment ID: I20221011000347
Provider NameSamantha K Bassett
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1285360230
PECOS PAC ID: 8729455712
Enrollment ID: I20221103002467
Provider NameDawn Azbill
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1285372474
PECOS PAC ID: 2466824222
Enrollment ID: I20230206000609
Provider NameAnahi Huang Hsu
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1740742931
PECOS PAC ID: 0143692681
Enrollment ID: I20230210000380
Provider NameGouni Lakoso Bouraima
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1427623990
PECOS PAC ID: 1153798210
Enrollment ID: I20230222002466
Provider NameDeanna Lee Merrill
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1396345955
PECOS PAC ID: 3971976176
Enrollment ID: I20230309001665
Provider NameChristine Anne O'toole
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1003465600
PECOS PAC ID: 6002289170
Enrollment ID: I20230310002074
Provider NameLilia Lara
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1073231742
PECOS PAC ID: 7517331036
Enrollment ID: I20230324000948
Provider NameHannah Isabel Ruben
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1134895907
PECOS PAC ID: 1759756919
Enrollment ID: I20230331002125
Provider NameGabrielle Alexandra Lugo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1174075964
PECOS PAC ID: 6709241888
Enrollment ID: I20230424002943
Provider NameRebecca Satter
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1467097295
PECOS PAC ID: 0648643643
Enrollment ID: I20230515002856
Provider NameJamie Lynn Fitzpatrick
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1467145904
PECOS PAC ID: 8123487758
Enrollment ID: I20230629002973
Provider NameCatherine Khanh-an Vu
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1437779238
PECOS PAC ID: 6305290644
Enrollment ID: I20230920003349
Provider NameGavelyn Poonnopatam
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1962021378
PECOS PAC ID: 0547614984
Enrollment ID: I20231003003602
Provider NamePatrick Donald Thurber
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1265114037
PECOS PAC ID: 7113372855
Enrollment ID: I20231016001792
Provider NameJana Walker
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1174201511
PECOS PAC ID: 7416305990
Enrollment ID: I20231121003175
Provider NameCassandra Rose Steiner
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1780328617
PECOS PAC ID: 0345699732
Enrollment ID: I20231211002010
Provider NameSherri Arenas
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1386187680
PECOS PAC ID: 1052757440
Enrollment ID: I20240307002295
Provider NameAna Rebecca Toothman
Provider TypePractitioner - Marriage And Family Therapist
Provider IdentifiersNPI Number: 1831488642
PECOS PAC ID: 1456798354
Enrollment ID: I20240327003593
Provider NamePatricia Salvador Myers
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1982216891
PECOS PAC ID: 2860934353
Enrollment ID: I20240612001805
Provider NameJessica Lynn Crewse
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1225863780
PECOS PAC ID: 4981135233
Enrollment ID: I20240927001247
Provider NameKathryn Sue Henley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1538175211
PECOS PAC ID: 7012915309
Enrollment ID: I20241011001447
Provider NameScott L Lacy
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1740790856
PECOS PAC ID: 2365976685
Enrollment ID: I20241108003384
Provider NameJazmine Aglae Morales
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1003558065
PECOS PAC ID: 4284168493
Enrollment ID: I20241111003227

Reviews and Comments


Clinic/Center in Douglas, AZ

Red Canyon Infectious Disease
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 2174 W Oak Ave, Douglas, AZ 85607
Phone: 520-366-0335    Fax: 520-366-0388
Chiricahua Community Health Centers Inc
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 1111 N F Ave, Douglas, AZ 85607
Phone: 520-364-1429    
Chiricahua Community Health Centers, Inc
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 815 15th Street, Douglas, AZ 85607
Phone: 520-364-5437    Fax: 520-364-4261

Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1101 N San Antonio Ave, Douglas, AZ 85607
Phone: 520-417-3001    Fax: 520-417-3297

Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 2174 W Oak Ave, Douglas, AZ 85607
Phone: 520-364-7931    Fax: 520-364-2551
Douglas Family Care Pllc
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 1906 E 11th St, Douglas, AZ 85607
Phone: 520-364-1120    Fax: 520-364-6417

Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1100 N F Ave, Douglas, AZ 85607
Phone: 520-364-3285    

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.