- Medicare Primary Care in Ajo, AZ

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is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Ajo, Arizona. The current practice location for is 410 N Malacate St, Ajo, Arizona. For appointments, you can reach them via phone at (520) 387-5651. The mailing address for is 410 N Malacate St, Ajo, Arizona and phone number is (520) 387-5651.

is licensed to practice in Arizona (license number OTC-0274). The clinic also participates in the medicare program and its NPI number is 1114037496. 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) 387-5651.

Contact Information

410 N Malacate St
Ajo
AZ 85321-2254
(520) 387-5651
(520) 387-5347

Map and Direction


Primary Care Clinic Profile

Full Name
SpecialityClinic/Center
Location410 N Malacate St, Ajo, Arizona
Authorized Official Name and PositionDaniel Barbara (CHIEF EXECUTIVE OFFICER)
Authorized Official Contact5203875651
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address

410 N Malacate St
Ajo
AZ 85321-2254

Ph: (520) 387-5651
410 N Malacate St
Ajo
AZ 85321-2254

Ph: (520) 387-5651

NPI Details:

NPI Number1114037496
Provider Enumeration Date08/30/2006
Last Update Date10/11/2024

Medicare PECOS Information:

Medicare PECOS PAC ID3476441866
Medicare Enrollment IDO20040308000777

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114037496NPI-NPPES
155681MedicaidAZ
AZ0910930OtherAZBCBS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QF0400XClinic/center - Federally Qualified Health Center (fqhc) OTC-0274 (Arizona)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:
Provider NameGorky Herrera
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1740222025
PECOS PAC ID: 2860391638
Enrollment ID: I20031231000450
Provider NameBoru M Nale
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1497949226
PECOS PAC ID: 3678521804
Enrollment ID: I20071120000344
Provider NameBrian David Jones
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1720063282
PECOS PAC ID: 5890717771
Enrollment ID: I20100720000256
Provider NameThomas E Horst
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1871642082
PECOS PAC ID: 5698796480
Enrollment ID: I20160209000197
Provider NameJohn Charles Sauer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1588136998
PECOS PAC ID: 2567702665
Enrollment ID: I20190328000702
Provider NameSonia Villanueva
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1366006199
PECOS PAC ID: 1951733229
Enrollment ID: I20191107002620
Provider NameAnnabel Owusu
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1588975452
PECOS PAC ID: 4284039678
Enrollment ID: I20230530000260
Provider NameSue Moler
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1265000384
PECOS PAC ID: 0840653929
Enrollment ID: I20230823002245
Provider NameFatima Lah
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1477053338
PECOS PAC ID: 1052782224
Enrollment ID: I20231013003073
Provider NameBoriana Nikolova
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1598432585
PECOS PAC ID: 3678961281
Enrollment ID: I20231026004149
Provider NamePetra Mojica
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1457922783
PECOS PAC ID: 9638530082
Enrollment ID: I20240604004352
Provider NameJennifer Kathleen Beatty-kwan
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1225862402
PECOS PAC ID: 6709327638
Enrollment ID: I20240919000973

Reviews and Comments


Clinic/Center in Ajo, AZ

Portable Practical Education Preparation Inc.
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 111 La Mina Ave, Room 5, Ajo, AZ 85321
Phone: 520-387-5232    Fax: 520-387-5732

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.