| Canyon Family Medicine | |
|
6242 E Arbor Ave Ste 118 Mesa AZ 85206-1309 | |
| (602) 805-4914 | |
| (602) 805-4917 |
| Full Name | Canyon Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 6242 E Arbor Ave Ste 118, Mesa, Arizona |
| Authorized Official Name and Position | Laura Ayn Hafez (FOUNDER) |
| Authorized Official Contact | 6028054914 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Canyon Family Medicine 6242 E Arbor Ave Ste 118 Mesa AZ 85206-1309 Ph: (602) 805-4914 | Canyon Family Medicine 6242 E Arbor Ave Ste 118 Mesa AZ 85206-1309 Ph: (602) 805-4914 |
| NPI Number | 1780349902 |
|---|---|
| Provider Enumeration Date | 11/02/2021 |
| Last Update Date | 08/29/2024 |
| Medicare PECOS PAC ID | 0547650350 |
|---|---|
| Medicare Enrollment ID | O20211210001046 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780349902 | NPI | - | NPPES |
| 104341 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| Provider Name | Laura A Hafez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104476019 PECOS PAC ID: 3577985373 Enrollment ID: I20200624002344 |
| Provider Name | Wendy Nelson Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689387573 PECOS PAC ID: 6406179241 Enrollment ID: I20230412001551 |
| Provider Name | Courtney Rae Dechesaro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770288276 PECOS PAC ID: 3971960717 Enrollment ID: I20230608003365 |
| Provider Name | Boriana Nikolova |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598432585 PECOS PAC ID: 3678961281 Enrollment ID: I20231026004149 |
| Provider Name | Jennifer Kelly Grim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235990904 PECOS PAC ID: 4789026295 Enrollment ID: I20240530000155 |
Ohana Kids & Family Kare Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3130 E Baseline Rd Ste 103, Mesa, AZ 85204 Phone: 480-539-7618 Fax: 480-900-8884 | |
True Patriot Consulting, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1134 E University Dr Ste 111, Mesa, AZ 85203 Phone: 480-398-1220 Fax: 480-398-1238 | |
M.g.t Rn Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7117 E Peralta Cir, Mesa, AZ 85212 Phone: 480-430-0721 | |
Stillpoint Wellness, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2266 S Dobson Rd Ste 200, Mesa, AZ 85202 Phone: 480-280-1996 Fax: 602-532-7649 | |
Cactus Pediatric Orthopaedics, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1500 S Dobson Rd Ste 200, Mesa, AZ 85202 Phone: 480-551-0300 | |
Voyage Medical Primary Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1130 W Grove Ave Ste 115, Mesa, AZ 85210 Phone: 480-685-0930 | |
Tripp Family Medicine, P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2830 E Brown Rd, Suite 1, Mesa, AZ 85213 Phone: 480-830-7546 Fax: 480-830-7550 |