| Dba New Era Family Practice | |
|
126 S Coronado Dr Ste B Sierra Vista AZ 85635-6300 | |
| (520) 439-0115 | |
| (520) 458-3016 |
| Full Name | Dba New Era Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 126 S Coronado Dr Ste B, Sierra Vista, Arizona |
| Authorized Official Name and Position | Parag R Patel (DIRECTOR) |
| Authorized Official Contact | 9093624958 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dba New Era Family Practice Po Box 2186 Sierra Vista AZ 85636-2186 Ph: (520) 439-0115 | Dba New Era Family Practice 126 S Coronado Dr Ste B Sierra Vista AZ 85635-6300 Ph: (520) 439-0115 |
| NPI Number | 1417181348 |
|---|---|
| Provider Enumeration Date | 05/06/2009 |
| Last Update Date | 09/04/2021 |
| Medicare PECOS PAC ID | 6103976642 |
|---|---|
| Medicare Enrollment ID | O20090604000197 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417181348 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| Provider Name | Parag R Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215121512 PECOS PAC ID: 1153416763 Enrollment ID: I20070927000429 |
| Provider Name | Alison B Mcleod |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134557150 PECOS PAC ID: 1658508502 Enrollment ID: I20131220000909 |
| Provider Name | Raquiel Andersen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942811997 PECOS PAC ID: 7012327927 Enrollment ID: I20201104002184 |
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