| Freedom Health Interventional Centers Llc | |
|
6036 N 19th Ave Ste 204 Phoenix AZ 85015-2104 | |
| (480) 626-1746 | |
| Not Available |
| Full Name | Freedom Health Interventional Centers Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 6036 N 19th Ave Ste 204, Phoenix, Arizona |
| Authorized Official Name and Position | Andrew Doyle (MANAGER) |
| Authorized Official Contact | 4806261746 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Freedom Health Interventional Centers Llc Dept# 880391 P.o Box 29650 Phoenix AZ 85038-9650 Ph: (480) 626-1746 | Freedom Health Interventional Centers Llc 6036 N 19th Ave Ste 204 Phoenix AZ 85015-2104 Ph: (480) 626-1746 |
| NPI Number | 1508364860 |
|---|---|
| Provider Enumeration Date | 01/31/2018 |
| Last Update Date | 12/20/2023 |
| Medicare PECOS PAC ID | 8325309347 |
|---|---|
| Medicare Enrollment ID | O20180307001387 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508364860 | NPI | - | NPPES |
| 433456 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Govind Acharya |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1487716692 PECOS PAC ID: 0840275574 Enrollment ID: I20040621000451 |
| Provider Name | Drew Hunter |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1649415308 PECOS PAC ID: 7416125562 Enrollment ID: I20110718000071 |
| Provider Name | Sandeep Rao |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992905095 PECOS PAC ID: 1759554991 Enrollment ID: I20170418002024 |
| Provider Name | Kelsey Resler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710522024 PECOS PAC ID: 0345663050 Enrollment ID: I20200713003143 |
| Provider Name | Kevin M Kerchansky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407988785 PECOS PAC ID: 6103801717 Enrollment ID: I20210818001876 |
| Provider Name | Katherine Ann Lynch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639802994 PECOS PAC ID: 1951782887 Enrollment ID: I20220722001951 |
| Provider Name | Gautam Rao |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1962934547 PECOS PAC ID: 7810264355 Enrollment ID: I20231005003624 |
Richard A. Snider, Md, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12010 S Warner Elliot Loop, Phoenix, AZ 85044 Phone: 480-893-2644 | |
Kelly H. Roy, Md, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1008 E Mcdowell Rd, Phoenix, AZ 85006 Phone: 602-358-8588 Fax: 602-688-6991 | |
My Family Doctor In The Valley Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11030 N Tatum Blvd, Ste 101, Phoenix, AZ 85028 Phone: 602-687-8265 | |
Deborah L Dykema Do Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 20045 N 19th Ave Bldg 9-151, Phoenix, AZ 85027 Phone: 602-978-1555 | |
Scottsdale Housecall Physicians, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11030 N Tatum Blvd Ste 101, Phoenix, AZ 85028 Phone: 602-687-8265 | |
Wings Of Hope Medical Services, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 11022 N 28th Dr Ste 205, Phoenix, AZ 85029 Phone: 602-971-0304 Fax: 602-971-0305 | |
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