Gold Canyon Internal Medicine - Medicare Primary Care in Gold Canyon, AZ

Gold Canyon Internal Medicine is a medicare enrolled primary clinic (Internal Medicine) in Gold Canyon, Arizona. The current practice location for Gold Canyon Internal Medicine is 6724 S Kings Ranch Rd Ste 102, Gold Canyon, Arizona. For appointments, you can reach them via phone at (480) 626-4999. The mailing address for Gold Canyon Internal Medicine is 9436 E Thunder Pass Dr, Gold Canyon, Arizona and phone number is (480) 370-2602.

Gold Canyon Internal Medicine is licensed to practice in Arizona (license number 25933). The clinic also participates in the medicare program and its NPI number is 1417112541. 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 (480) 626-4999.

Contact Information

Gold Canyon Internal Medicine
6724 S Kings Ranch Rd Ste 102
Gold Canyon
AZ 85118-2963
(480) 626-4999
(480) 304-3239

Map and Direction


Primary Care Clinic Profile

Full NameGold Canyon Internal Medicine
SpecialityInternal Medicine
Location6724 S Kings Ranch Rd Ste 102, Gold Canyon, Arizona
Authorized Official Name and PositionJerrelle M Copeland (OWNER)
Authorized Official Contact4803702602
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Gold Canyon Internal Medicine
9436 E Thunder Pass Dr
Gold Canyon
AZ 85118-2064

Ph: (480) 370-2602
Gold Canyon Internal Medicine
6724 S Kings Ranch Rd Ste 102
Gold Canyon
AZ 85118-2963

Ph: (480) 626-4999

NPI Details:

NPI Number1417112541
Provider Enumeration Date07/29/2008
Last Update Date07/21/2020

Medicare PECOS Information:

Medicare PECOS PAC ID0840552675
Medicare Enrollment IDO20180314002521

Medical Identifiers

Medical identifiers for Gold Canyon Internal Medicine such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417112541NPI-NPPES
404723MedicaidAZ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 25933 (Arizona)Primary
332900000XNon-pharmacy Dispensing Site (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. Gold Canyon Internal Medicine acts as a billing entity for following providers:
Provider NameJerrelle M Copeland
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1790784643
PECOS PAC ID: 5193746444
Enrollment ID: I20051214000283
Provider NameRomella Icban Watler
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1619454154
PECOS PAC ID: 3577997261
Enrollment ID: I20200106002522
Provider NameAmy Sue Simmons
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1366953143
PECOS PAC ID: 4183055445
Enrollment ID: I20200520003778

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.