Optum Primary Care | |
710 N Beaver St Ste 3 Flagstaff AZ 86001-3100 | |
(928) 226-1454 | |
(928) 226-1461 |
Full Name | Optum Primary Care |
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Speciality | Family Medicine |
Location | 710 N Beaver St, Flagstaff, Arizona |
Authorized Official Name and Position | Emily Castillo (REGIONAL MANAGER) |
Authorized Official Contact | 7024802550 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Optum Primary Care 710 N Beaver St Ste 3 Flagstaff AZ 86001-3100 Ph: (928) 226-1454 | Optum Primary Care 710 N Beaver St Ste 3 Flagstaff AZ 86001-3100 Ph: (928) 226-1454 |
NPI Number | 1790976470 |
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Provider Enumeration Date | 08/07/2007 |
Last Update Date | 09/02/2023 |
Medicare PECOS PAC ID | 8123007945 |
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Medicare Enrollment ID | O20040715000948 |
Identifier | Type | State | Issuer |
---|---|---|---|
1790976470 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 27015 (Arizona) | Primary |
Provider Name | Kelly L Tracey |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1255441143 PECOS PAC ID: 2961486113 Enrollment ID: I20040712001214 |
Provider Name | Robert S Yee |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1497743116 PECOS PAC ID: 2062487176 Enrollment ID: I20040901000416 |
North Country Healthcare-ponderosa Hs Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2384 N Steves Blvd, Flagstaff, AZ 86004 Phone: 928-522-9410 Fax: 928-522-9411 | |
Aspen Family Medicine Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2912 N West St, Flagstaff, AZ 86004 Phone: 928-774-3627 Fax: 927-774-1400 | |
Ryan Internal Medicine Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 107 E Oak Ave, Suite 202, Flagstaff, AZ 86001 Phone: 928-773-2560 Fax: 928-913-8835 | |
Vasco Healthcare Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 930 N Switzer Canyon Dr Ste 201, Flagstaff, AZ 86001 Phone: 602-346-0204 | |
Native Americans For Community Action, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1500 E Cedar Ave, Ste 26, Flagstaff, AZ 86004 Phone: 928-773-1245 Fax: 928-773-9429 | |
North Country Healthcare Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2920 N 4th St, Flagstaff, AZ 86004 Phone: 928-213-6121 Fax: 928-774-6687 | |
North Country Healthcare, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2920 N. 4th Street, Flagstaff, AZ 86004 Phone: 928-522-9400 Fax: 928-774-6687 |