| Fusion Medical Care, Pllc | |
|
5900 N Granite Reef Rd Ste 102 Scottsdale AZ 85250-6280 | |
| (602) 703-7276 | |
| Not Available |
| Full Name | Fusion Medical Care, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 5900 N Granite Reef Rd Ste 102, Scottsdale, Arizona |
| Authorized Official Name and Position | Laura Gold (OWNER) |
| Authorized Official Contact | 6027037275 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fusion Medical Care, Pllc 10078 E Pershing Ave Scottsdale AZ 85260-7221 Ph: (602) 703-7275 | Fusion Medical Care, Pllc 5900 N Granite Reef Rd Ste 102 Scottsdale AZ 85250-6280 Ph: (602) 703-7276 |
| NPI Number | 1144860800 |
|---|---|
| Provider Enumeration Date | 01/10/2020 |
| Last Update Date | 02/05/2020 |
| Medicare PECOS PAC ID | 4587095609 |
|---|---|
| Medicare Enrollment ID | O20200505002488 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144860800 | NPI | - | NPPES |
| Provider Name | Harolyn C Gilles |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437478583 PECOS PAC ID: 1456484427 Enrollment ID: I20100728000988 |
| Provider Name | Maressa M Alejandro-reyes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750328969 PECOS PAC ID: 6002881935 Enrollment ID: I20110112000619 |
| Provider Name | Scott Braverman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801414883 PECOS PAC ID: 9638589823 Enrollment ID: I20201028002631 |
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