Fountain Hills Medical Center Primary Care Clinic is a medicare enrolled primary clinic (Family Medicine - Adult Medicine) in Fountain Hls, Arizona. The current practice location for Fountain Hills Medical Center Primary Care Clinic is 9700 N Saguaro Blvd Ste 100, Fountain Hls, Arizona. For appointments, you can reach them via phone at
(602) 671-7981. The mailing address for Fountain Hills Medical Center Primary Care Clinic is 9700 N Saguaro Blvd Ste 100, Fountain Hills, Arizona and phone number is (602) 671-7981.
Fountain Hills Medical Center Primary Care Clinic is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its
NPI number is 1295355881. 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
(602) 671-7981.
Primary Care Clinic Profile
| Full Name | Fountain Hills Medical Center Primary Care Clinic |
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| Speciality | Family Medicine |
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| Location | 9700 N Saguaro Blvd Ste 100, Fountain Hls, Arizona |
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| Authorized Official Name and Position | Chukwuemeka Ezeume (PRESIDENT / CEO) |
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| Authorized Official Contact | 6026717981 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Fountain Hills Medical Center Primary Care Clinic
9700 N Saguaro Blvd Ste 100
Fountain Hills
AZ 85268-6242
Ph: (602) 671-7981 | Fountain Hills Medical Center Primary Care Clinic
9700 N Saguaro Blvd Ste 100
Fountain Hls
AZ 85268-6242
Ph: (602) 671-7981 |
NPI Details:
| NPI Number | 1295355881 |
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| Provider Enumeration Date | 04/23/2020 |
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| Last Update Date | 11/21/2023 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 2961818976 |
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| Medicare Enrollment ID | O20210416001675 |
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Medical Identifiers
Medical identifiers for Fountain Hills Medical Center Primary Care Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1295355881 | NPI | - | NPPES |
| 082025 | Medicaid | AZ | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207QA0505X | Family Medicine - Adult Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
| 363LG0600X | Nurse Practitioner - Gerontology | (* (Not Available)) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Fountain Hills Medical Center Primary Care Clinic acts as a billing entity for following providers:
| Provider Name | Chukwuemeka Ezeume |
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| Provider Type | Practitioner - Internal Medicine |
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| Provider Identifiers | NPI Number: 1629361340
PECOS PAC ID: 9830318088
Enrollment ID: I20180413002147 |
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| Provider Name | Oluchi Ezeume |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1295138246
PECOS PAC ID: 4183946122
Enrollment ID: I20210416001504 |
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| Provider Name | Debra L Palka |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1730867946
PECOS PAC ID: 8628417441
Enrollment ID: I20240412002620 |
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