Carnett Clinic, Llc | |
4990 E Mediterranean Dr Ste A Sierra Vista AZ 85635-2495 | |
(520) 439-5186 | |
(520) 439-4466 |
Full Name | Carnett Clinic, Llc |
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Speciality | Family Medicine |
Location | 4990 E Mediterranean Dr Ste A, Sierra Vista, Arizona |
Authorized Official Name and Position | Mark Christian Carnett (PHYSICIAN) |
Authorized Official Contact | 5204395186 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Carnett Clinic, Llc 4990 E Mediterranean Dr Ste A Sierra Vista AZ 85635-2495 Ph: (520) 439-5186 | Carnett Clinic, Llc 4990 E Mediterranean Dr Ste A Sierra Vista AZ 85635-2495 Ph: (520) 439-5186 |
NPI Number | 1790961167 |
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Provider Enumeration Date | 01/16/2008 |
Last Update Date | 01/09/2024 |
Medicare PECOS PAC ID | 5890732655 |
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Medicare Enrollment ID | O20050413000307 |
Identifier | Type | State | Issuer |
---|---|---|---|
1790961167 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207QA0505X | Family Medicine - Adult Medicine | 3174 (Arizona) | Primary |
Provider Name | Mark C Carnett |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1356402887 PECOS PAC ID: 1658328737 Enrollment ID: I20050331000809 |
Provider Name | Laura L Goethe |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649575580 PECOS PAC ID: 9436332426 Enrollment ID: I20110329000774 |
Provider Name | Dixie Jean Millican |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760781017 PECOS PAC ID: 8527389477 Enrollment ID: I20150604000944 |
Provider Name | Samantha Dawn Conroy |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518419563 PECOS PAC ID: 8022395060 Enrollment ID: I20170501001240 |
Provider Name | Margarita Clemons |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588215743 PECOS PAC ID: 7113351172 Enrollment ID: I20191227001216 |
Provider Name | Robert J Staggs |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194918102 PECOS PAC ID: 0648582346 Enrollment ID: I20220330001499 |
Provider Name | Samuel N Sigoloff |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1629486154 PECOS PAC ID: 5092162560 Enrollment ID: I20231106003374 |
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