| Carelon Medical Partners Of Arizona, P.c. | |
|
5055 E Broadway Blvd Suite 111 Tucson AZ 85711-3640 | |
| (520) 529-8387 | |
| (520) 844-1111 |
| Full Name | Carelon Medical Partners Of Arizona, P.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 5055 E Broadway Blvd, Tucson, Arizona |
| Authorized Official Name and Position | Timothy Albion (OWNER) |
| Authorized Official Contact | 2242345025 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carelon Medical Partners Of Arizona, P.c. 12900 Park Plaza Dr Suite 150, Ms-6165 Cerritos CA 90703-9329 Ph: (562) 741-4461 | Carelon Medical Partners Of Arizona, P.c. 5055 E Broadway Blvd Suite 111 Tucson AZ 85711-3640 Ph: (520) 529-8387 |
| NPI Number | 1972879773 |
|---|---|
| Provider Enumeration Date | 03/26/2012 |
| Last Update Date | 06/05/2024 |
| Medicare PECOS PAC ID | 6406010552 |
|---|---|
| Medicare Enrollment ID | O20120621000233 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972879773 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 18791 (Arizona) | Primary |
| Provider Name | Robert Allen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821049800 PECOS PAC ID: 0446278451 Enrollment ID: I20051108001058 |
| Provider Name | Phuong T Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376503490 PECOS PAC ID: 6103846761 Enrollment ID: I20051129000415 |
| Provider Name | Rosemary Siobhan Browne |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508808502 PECOS PAC ID: 3779680673 Enrollment ID: I20070529000229 |
| Provider Name | Laura K Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477742930 PECOS PAC ID: 5395832307 Enrollment ID: I20071107000260 |
| Provider Name | Sheryl A Peteuil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306877170 PECOS PAC ID: 2567508013 Enrollment ID: I20091014000125 |
| Provider Name | Anjelica M Graves |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043442098 PECOS PAC ID: 5496894719 Enrollment ID: I20091130000271 |
| Provider Name | Ramona S Woodworth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073869947 PECOS PAC ID: 2961652839 Enrollment ID: I20121031000134 |
| Provider Name | Michelle A Magboo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174966782 PECOS PAC ID: 0446494504 Enrollment ID: I20130917000772 |
| Provider Name | Chris Kim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598282832 PECOS PAC ID: 2860759743 Enrollment ID: I20171130003032 |
| Provider Name | Abigail S Hawke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699114272 PECOS PAC ID: 8426344995 Enrollment ID: I20190123001739 |
| Provider Name | Albert N Dy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104488493 PECOS PAC ID: 2163856246 Enrollment ID: I20191224000232 |
| Provider Name | Yeo K Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538569603 PECOS PAC ID: 5092012641 Enrollment ID: I20200122001161 |
| Provider Name | Demetrius Barnes |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1619383510 PECOS PAC ID: 4587930219 Enrollment ID: I20200123002749 |
| Provider Name | Hetter E Fuller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386278554 PECOS PAC ID: 4981035227 Enrollment ID: I20200520002635 |
| Provider Name | Michael Groshner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861929952 PECOS PAC ID: 7719257740 Enrollment ID: I20201015001215 |
| Provider Name | Phyllis Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114268281 PECOS PAC ID: 7911285952 Enrollment ID: I20201116001381 |
| Provider Name | July Alexandra Gallardo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346808748 PECOS PAC ID: 0648504662 Enrollment ID: I20201124000000 |
| Provider Name | Maryrose Deguzman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750556916 PECOS PAC ID: 1153544358 Enrollment ID: I20210601002223 |
| Provider Name | Megan Anne Mayne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790338085 PECOS PAC ID: 9739512161 Enrollment ID: I20210607000800 |
| Provider Name | Tisa Lynn Lopez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447928270 PECOS PAC ID: 4183021033 Enrollment ID: I20210921000850 |
| Provider Name | Magda Lina Villegas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679975510 PECOS PAC ID: 7113302878 Enrollment ID: I20220928002752 |
| Provider Name | Jenny Teppett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922721836 PECOS PAC ID: 6800262320 Enrollment ID: I20221024002511 |
| Provider Name | Jessica L Ward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861112260 PECOS PAC ID: 9931571726 Enrollment ID: I20230203000869 |
| Provider Name | Martha Mwale Mulenga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265154371 PECOS PAC ID: 7113390162 Enrollment ID: I20230222002347 |
| Provider Name | Brinda Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790418960 PECOS PAC ID: 5799150272 Enrollment ID: I20230414001631 |
| Provider Name | Ray Coleen Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861164428 PECOS PAC ID: 3375900335 Enrollment ID: I20230606002703 |
| Provider Name | Jesse Korth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457870586 PECOS PAC ID: 4587091350 Enrollment ID: I20231129001038 |
| Provider Name | Daniel Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063127231 PECOS PAC ID: 3870946056 Enrollment ID: I20240124003761 |
| Provider Name | Corrine Favela |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447304001 PECOS PAC ID: 3971881889 Enrollment ID: I20240520003133 |
| Provider Name | Tessa Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245385053 PECOS PAC ID: 0042112658 Enrollment ID: I20240604003554 |
Ironwood Gastroenterology Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 395 N Silverbell Rd, Suite 255, Tucson, AZ 85745 Phone: 520-722-3777 Fax: 520-296-6224 | |
Sparcc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5199 E Farness Dr, Ste 101, Tucson, AZ 85712 Phone: 520-548-4847 Fax: 520-300-7156 | |
One Medical Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8616 E Broadway Blvd, Tucson, AZ 85710 Phone: 520-468-4809 Fax: 520-254-6016 | |
Total Care Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 941 N 11th Ave, Tucson, AZ 85705 Phone: 517-294-1835 | |
Omo Ije's'a Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7309 E 28th St, Tucson, AZ 85710 Phone: 510-345-8981 Fax: 520-253-7229 | |
James R Boyed Md Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6548 E Carondelet Dr Bldg E, Tucson, AZ 85710 Phone: 520-298-2319 Fax: 520-298-7811 | |
Northwest Allied Physicians Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2055 W Hospital Dr, Suite 205, Tucson, AZ 85704 Phone: 520-229-2563 Fax: 520-229-2561 |