<unavail> in Tucson, AZ - Medicare Clinic/Center

is a medicare enrolled primary clinic (Clinic/center - Methadone) in Tucson, Arizona. The current practice location for is 1021 E Palmdale St Ste 130, Tucson, Arizona. For appointments, you can reach them via phone at (520) 407-5353. The mailing address for is Po Box 86537, Tucson, Arizona and phone number is (520) 721-1887.

is licensed to practice in Arizona (license number PENDING). The clinic also participates in the medicare program and its NPI number is 1457841678. 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 (520) 407-5353.

Contact Information


	1021 E Palmdale St Ste 130 Tucson AZ 85714-1859
	(520) 407-5353
	(520) 318-6917

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	1021 E Palmdale St Ste 130, Tucson, Arizona
Authorized Official Name and Position	Rose Mary Lopez (PRESIDENT AND CEO)
Authorized Official Contact	5207211887
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Po Box 86537 Tucson AZ 85754-6537 Ph: (520) 721-1887	1021 E Palmdale St Ste 130 Tucson AZ 85714-1859 Ph: (520) 407-5353

NPI Details:

NPI Number	1457841678
Provider Enumeration Date	05/14/2018
Last Update Date	04/20/2020

Medicare PECOS Information:

Medicare PECOS PAC ID	7315163938
Medicare Enrollment ID	O20200924000206

Medical Identifiers

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

Identifier	Type	State	Issuer
1457841678	NPI	-	NPPES
OTC9751	Other	AZ	ADHS-BMFL
554498	Medicaid	AZ

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261Q00000X	Clinic/center	(* (Not Available))	Secondary
261QM1300X	Clinic/center - Multi-specialty	(* (Not Available))	Secondary
261QM2800X	Clinic/center - Methadone	PENDING (Arizona)	Primary

Reviews and Comments

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- Medicare Primary Care in Tucson, AZ