Country Doctor Inc in Peoria, AZ - Medicare Clinic/Center

Country Doctor Inc is a medicare enrolled primary clinic (Clinic/center - Primary Care) in Peoria, Arizona. The current practice location for Country Doctor Inc is 13260 N 94th Dr Ste 102, Peoria, Arizona. For appointments, you can reach them via phone at (623) 815-0827. The mailing address for Country Doctor Inc is 13260 N 94th Dr Ste 102, Peoria, Arizona and phone number is (623) 815-0827.

Country Doctor Inc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1821550310. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (623) 815-0827.

Contact Information

	Country Doctor Inc
	13260 N 94th Dr Ste 102 Peoria AZ 85381-4242
	(623) 815-0827
	(623) 875-0325

Map and Direction

Primary Care Clinic Profile

Full Name	Country Doctor Inc
Speciality	Clinic/Center
Location	13260 N 94th Dr Ste 102, Peoria, Arizona
Authorized Official Name and Position	Paul Lee Manganelli (PRESIDENT)
Authorized Official Contact	6238150827
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Country Doctor Inc 13260 N 94th Dr Ste 102 Peoria AZ 85381-4242 Ph: (623) 815-0827	Country Doctor Inc 13260 N 94th Dr Ste 102 Peoria AZ 85381-4242 Ph: (623) 815-0827

NPI Details:

NPI Number	1821550310
Provider Enumeration Date	04/03/2019
Last Update Date	04/11/2019

Medicare PECOS Information:

Medicare PECOS PAC ID	0941533251
Medicare Enrollment ID	O20190531000241

Medical Identifiers

Medical identifiers for Country Doctor Inc such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1821550310	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QP2300X	Clinic/center - Primary Care	(* (Not Available))	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Country Doctor Inc acts as a billing entity for following providers:

Provider Name	Tammy Manganelli
Provider Type	Practitioner - Nurse Practitioner
Provider Identifiers	NPI Number: 1912144866 PECOS PAC ID: 4082760962 Enrollment ID: I20090917000321

Reviews and Comments

Clinic/Center in Peoria, AZ

Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10280 N 91st Ave, Peoria, AZ 85345 Phone: 602-842-9880 Fax: 877-891-4091
Elite Infusions Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10252 W Villa Chula, Peoria, AZ 85383 Phone: 623-210-5041
Banner Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8510 W Deer Valley Rd Ste 100, Peoria, AZ 85382 Phone: 623-561-4532
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6739 W Cactus Rd, Peoria, AZ 85381 Phone: 623-240-1110 Fax: 623-889-0814
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 13695 N 75th Ave, Peoria, AZ 85381 Phone: 602-439-1101 Fax: 602-789-1653
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10230 W Happy Valley Pkwy Ste 100, Peoria, AZ 85383 Phone: 623-266-4699
Anesthesia Services For Gi Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 14155 N 83rd Ave Ste 122, Peoria, AZ 85381 Phone: 623-694-1445

Country Doctor Inc - Medicare Primary Care in Peoria, AZ