| Clinica Medica Familiar San Gabriel, Llc | |
|
4515 S Mcclintock Dr Ste 115 Tempe AZ 85282-7381 | |
| (480) 780-0690 | |
| (480) 831-0415 |
| Full Name | Clinica Medica Familiar San Gabriel, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 4515 S Mcclintock Dr Ste 115, Tempe, Arizona |
| Authorized Official Name and Position | Marie E Bentz (OWNER) |
| Authorized Official Contact | 7144650875 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinica Medica Familiar San Gabriel, Llc 4515 S Mcclintock Dr Ste 115 Tempe AZ 85282-7381 Ph: (480) 780-0690 | Clinica Medica Familiar San Gabriel, Llc 4515 S Mcclintock Dr Ste 115 Tempe AZ 85282-7381 Ph: (480) 780-0690 |
| NPI Number | 1609632298 |
|---|---|
| Provider Enumeration Date | 02/22/2024 |
| Last Update Date | 02/22/2024 |
| Medicare PECOS PAC ID | 4082053269 |
|---|---|
| Medicare Enrollment ID | O20240421000130 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609632298 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Marie Elianthe Bentz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548850134 PECOS PAC ID: 4284022534 Enrollment ID: I20211019002944 |
Healthfirst Primary Care, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2153 E Baseline Rd Ste 101, Tempe, AZ 85283 Phone: 480-820-1855 Fax: 480-820-8451 | |
Sellerssportsmed Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1840 E Baseline Rd Ste C2, Tempe, AZ 85283 Phone: 480-751-3777 Fax: 480-751-3785 | |
Arizona Family Physicians Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2127 E Baseline Rd, 104, Tempe, AZ 85283 Phone: 480-897-7070 Fax: 480-897-2597 | |
Kidney Guardian Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 436 E Southern Ave, Tempe, AZ 85282 Phone: 480-297-7361 Fax: 602-207-8899 | |
East Valley Primary Care Physicians Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4515 S Mcclintock Dr, Ste 100, Tempe, AZ 85282 Phone: 480-820-1133 Fax: 480-820-9292 | |
First Person Care Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2226 S Rural Rd, Tempe, AZ 85282 Phone: 702-380-8118 | |
Creosote Total Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8380 S Kyrene Rd # D-103, Tempe, AZ 85284 Phone: 480-269-3208 Fax: 480-674-1295 |