Optum Primary Care - Medicare Primary Care in Flagstaff, AZ

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Optum Primary Care is a medicare enrolled primary clinic (Family Medicine) in Flagstaff, Arizona. The current practice location for Optum Primary Care is 1501 S Yale St Ste 150, Flagstaff, Arizona. For appointments, you can reach them via phone at (928) 527-4325. The mailing address for Optum Primary Care is Po Box 35380, Las Vegas, Nevada and phone number is (702) 954-7761.

Optum Primary Care is licensed to practice in Arizona (license number 32052). The clinic also participates in the medicare program and its NPI number is 1699724039. 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 (928) 527-4325.

Contact Information

Optum Primary Care
1501 S Yale St Ste 150
Flagstaff
AZ 86001-7337
(928) 527-4325
(928) 527-4327

Map and Direction


Primary Care Clinic Profile

Full NameOptum Primary Care
SpecialityFamily Medicine
Location1501 S Yale St Ste 150, Flagstaff, Arizona
Authorized Official Name and PositionEmily Castillo (REGIONAL MANAGER)
Authorized Official Contact7024802550
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Optum Primary Care
Po Box 35380
Las Vegas
NV 89133-5380

Ph: (702) 954-7761		Optum Primary Care
1501 S Yale St Ste 150
Flagstaff
AZ 86001-7337

Ph: (928) 527-4325

NPI Details:

NPI Number1699724039
Provider Enumeration Date05/10/2006
Last Update Date07/25/2024

Medicare PECOS Information:

Medicare PECOS PAC ID6608867197
Medicare Enrollment IDO20040522000252

Medical Identifiers

Medical identifiers for Optum Primary Care such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1699724039NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 32052 (Arizona)Primary
207R00000XInternal Medicine 32051 (Arizona)Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Optum Primary Care acts as a billing entity for following providers:
Provider NameChad R Taylor
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1871937417
PECOS PAC ID: 1658660212
Enrollment ID: I20160520000884
Provider NameMary C Porvaznik
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1871582635
PECOS PAC ID: 9335310242
Enrollment ID: I20160901001417
Provider NameAngie Coil
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700247509
PECOS PAC ID: 3476849522
Enrollment ID: I20161025001522
Provider NameThomas D Wendel
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1750310355
PECOS PAC ID: 8325951163
Enrollment ID: I20181213003101
Provider NameSunghoon Kim
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1114682481
PECOS PAC ID: 4981097490
Enrollment ID: I20220204002024
Provider NameSari Fleischer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1336430735
PECOS PAC ID: 3375936339
Enrollment ID: I20220215002192
Provider NameKevin Daniel Thomas
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1730143637
PECOS PAC ID: 0941341028
Enrollment ID: I20220314002081
Provider NameChristina Sternesky
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1982283743
PECOS PAC ID: 4981003217
Enrollment ID: I20231108000953

Reviews and Comments


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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.