| Carelock, Llc | |
|
2920 E Mohawk Ln Ste 101 Phoenix AZ 85050-4773 | |
| (480) 681-3450 | |
| (800) 960-4547 |
| Full Name | Carelock, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 2920 E Mohawk Ln Ste 101, Phoenix, Arizona |
| Authorized Official Name and Position | John S. Gilliam (MEDICAL DIRECTOR) |
| Authorized Official Contact | 9287721673 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carelock, Llc 15029 N Thompson Peak Pkwy # B111-438 Scottsdale AZ 85260-2217 Ph: (480) 681-3450 | Carelock, Llc 2920 E Mohawk Ln Ste 101 Phoenix AZ 85050-4773 Ph: (480) 681-3450 |
| NPI Number | 1245795459 |
|---|---|
| Provider Enumeration Date | 02/01/2019 |
| Last Update Date | 06/30/2020 |
| Medicare PECOS PAC ID | 9436491172 |
|---|---|
| Medicare Enrollment ID | O20190430001326 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245795459 | NPI | - | NPPES |
| 388615 | Medicaid | AZ | |
| 600874 | Medicaid | AZ |
| Provider Name | Cindy M Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265693881 PECOS PAC ID: 3577610682 Enrollment ID: I20090407000255 |
| Provider Name | John S Gilliam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003877085 PECOS PAC ID: 7618989831 Enrollment ID: I20110509000734 |
| Provider Name | Danielle Barbaro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194224493 PECOS PAC ID: 9537421813 Enrollment ID: I20180326002890 |
| Provider Name | Caroline Bingham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437669504 PECOS PAC ID: 1658634803 Enrollment ID: I20180420002163 |
| Provider Name | Suzanne M Swain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790245678 PECOS PAC ID: 0941533327 Enrollment ID: I20190618001525 |
| Provider Name | Vickey Star Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538723465 PECOS PAC ID: 9234561820 Enrollment ID: I20191120001615 |
| Provider Name | Laura Gray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902446503 PECOS PAC ID: 0547698672 Enrollment ID: I20200323003337 |
| Provider Name | Holly Ann Allred |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013522267 PECOS PAC ID: 5597176917 Enrollment ID: I20201116001649 |
| Provider Name | Marley Lynn Meyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346839420 PECOS PAC ID: 8527474493 Enrollment ID: I20210302000775 |
| Provider Name | Krystle M Ray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184185282 PECOS PAC ID: 7113260076 Enrollment ID: I20210712003407 |
| Provider Name | Erick Romero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134620347 PECOS PAC ID: 2769738269 Enrollment ID: I20210723003024 |
| Provider Name | Eleanor Eunice Tubat Edmilao |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548916356 PECOS PAC ID: 9931584042 Enrollment ID: I20220909001784 |
| Provider Name | Michelle Wallace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316471790 PECOS PAC ID: 1355618505 Enrollment ID: I20230309001087 |
| Provider Name | Meredith Mcelroy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659067999 PECOS PAC ID: 8820456403 Enrollment ID: I20230614003349 |
| Provider Name | Janelle L Schanfish |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508316993 PECOS PAC ID: 5698059525 Enrollment ID: I20230731001434 |
| Provider Name | Norma Irene Erivez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134991680 PECOS PAC ID: 8820435860 Enrollment ID: I20240326001493 |
| Provider Name | Zachary Thomas Brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669094173 PECOS PAC ID: 0042633323 Enrollment ID: I20240326003379 |
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