| |
214 N Mccormick St Prescott AZ 86301-2706 | |
(928) 237-9800 | |
(928) 237-9924 |
Full Name | |
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Speciality | Internal Medicine |
Location | 214 N Mccormick St, Prescott, Arizona |
Authorized Official Name and Position | Erik Contreras (PROVIDER) |
Authorized Official Contact | 9288992446 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box 20610 Mesa AZ 85277-0610 Ph: (928) 237-9800 | 214 N Mccormick St Prescott AZ 86301-2706 Ph: (928) 237-9800 |
NPI Number | 1689321903 |
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Provider Enumeration Date | 03/07/2022 |
Last Update Date | 01/24/2023 |
Medicare PECOS PAC ID | 4789071440 |
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Medicare Enrollment ID | O20220427001290 |
Identifier | Type | State | Issuer |
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1689321903 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Erik Paul Contreras |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1265708416 PECOS PAC ID: 8527019488 Enrollment ID: I20150827000168 |
Provider Name | Randi Lynn Morris |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235877317 PECOS PAC ID: 5294114419 Enrollment ID: I20220617002656 |
Ellen F Bunch Md Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1456 W Gurley St, Prescott, AZ 86305 Phone: 928-777-8880 Fax: 928-777-8884 | |
Fred S Markham Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 804 Ainsworth Dr, Suite 104, Prescott, AZ 86301 Phone: 928-778-1736 Fax: 928-717-0785 | |
Yavapai Regional Medical Center Physician Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 726 Gail Gardner Way, Suite B, Prescott, AZ 86305 Phone: 928-445-0304 | |