Grace Medical Group Llc - Medicare Primary Care in Tucson, AZ

Grace Medical Group Llc is a medicare enrolled primary clinic (Family Medicine - Geriatric Medicine) in Tucson, Arizona. The current practice location for Grace Medical Group Llc is 2675 N Wyatt Dr, Tucson, Arizona. For appointments, you can reach them via phone at (520) 260-0937. The mailing address for Grace Medical Group Llc is 2675 N Wyatt Dr, Tucson, Arizona and phone number is (520) 260-0937.

Grace Medical Group Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1215603964. 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 (520) 260-0937.

Contact Information

Grace Medical Group Llc
2675 N Wyatt Dr
Tucson
AZ 85712-6107
(520) 260-0937
(520) 320-0688

Map and Direction


Primary Care Clinic Profile

Full NameGrace Medical Group Llc
SpecialityFamily Medicine
Location2675 N Wyatt Dr, Tucson, Arizona
Authorized Official Name and PositionWilliam Douglas Martz (OWNER/CEO)
Authorized Official Contact5202600937
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Grace Medical Group Llc
2675 N Wyatt Dr
Tucson
AZ 85712-6107

Ph: (520) 260-0937
Grace Medical Group Llc
2675 N Wyatt Dr
Tucson
AZ 85712-6107

Ph: (520) 260-0937

NPI Details:

NPI Number1215603964
Provider Enumeration Date08/20/2021
Last Update Date08/20/2021

Medicare PECOS Information:

Medicare PECOS PAC ID7012306624
Medicare Enrollment IDO20211118003211

Medical Identifiers

Medical identifiers for Grace Medical Group Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215603964NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207QG0300XFamily Medicine - Geriatric Medicine (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Grace Medical Group Llc acts as a billing entity for following providers:
Provider NameVicky R Norwood
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1679594196
PECOS PAC ID: 5799682860
Enrollment ID: I20031217000086
Provider NameWilliam D Martz
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1215950027
PECOS PAC ID: 7517906217
Enrollment ID: I20050502001282
Provider NameCecilia A Amanti
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1659303162
PECOS PAC ID: 5294748711
Enrollment ID: I20060728000060
Provider NameJanet G Chapman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1750619276
PECOS PAC ID: 1254468887
Enrollment ID: I20100429000947
Provider NameKhalid M Shirif
Provider TypePractitioner - Hospice/palliative Care
Provider IdentifiersNPI Number: 1407927130
PECOS PAC ID: 7517099807
Enrollment ID: I20100722000399
Provider NameHeidi S Montague
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1316033103
PECOS PAC ID: 4486749710
Enrollment ID: I20121022000482
Provider NameKimberley S Fahle
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1356052161
PECOS PAC ID: 7618323882
Enrollment ID: I20231024002032

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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.