Grand Canyon University - Medicare Primary Care in Phoenix, AZ

Grand Canyon University is a medicare enrolled primary clinic (Family Medicine) in Phoenix, Arizona. The current practice location for Grand Canyon University is 3300 W Camelback Rd, Health Center, Phoenix, Arizona. For appointments, you can reach them via phone at (602) 639-6215. The mailing address for Grand Canyon University is 3300 W Camelback Rd, Health Center, Phoenix, Arizona and phone number is (602) 639-6215.

Grand Canyon University is licensed to practice in Arizona (license number OTC9096). The clinic also participates in the medicare program and its NPI number is 1124501069. 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) 639-6215.

Contact Information

Grand Canyon University
3300 W Camelback Rd
Health Center
Phoenix
AZ 85017-1097
(602) 639-6215
(602) 639-7830

Map and Direction


Primary Care Clinic Profile

Full NameGrand Canyon University
SpecialityFamily Medicine
Location3300 W Camelback Rd, Phoenix, Arizona
Authorized Official Name and PositionConstance Colbert (DIRECTOR)
Authorized Official Contact6026397757
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Grand Canyon University
3300 W Camelback Rd
Health Center
Phoenix
AZ 85017-1097

Ph: (602) 639-6215
Grand Canyon University
3300 W Camelback Rd
Health Center
Phoenix
AZ 85017-1097

Ph: (602) 639-6215

NPI Details:

NPI Number1124501069
Provider Enumeration Date09/06/2018
Last Update Date02/06/2021

Medicare PECOS Information:

Medicare PECOS PAC ID9537577499
Medicare Enrollment IDO20210415000091

Medical Identifiers

Medical identifiers for Grand Canyon University such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124501069NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine OTC9096 (Arizona)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Grand Canyon University acts as a billing entity for following providers:
Provider NameTamara N Wisely
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1801918883
PECOS PAC ID: 2567524739
Enrollment ID: I20081222000541
Provider NameConstance R Colbert
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1205083839
PECOS PAC ID: 6103974316
Enrollment ID: I20090428000112
Provider NameMatthew D Shores
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1861513889
PECOS PAC ID: 0042356982
Enrollment ID: I20091007000583
Provider NameLyndee A Johnson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1285989608
PECOS PAC ID: 1759530751
Enrollment ID: I20121008000487
Provider NameCyndirae Braun
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1508293903
PECOS PAC ID: 2567688385
Enrollment ID: I20140919002274
Provider NameHeather A Healy
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669493771
PECOS PAC ID: 8628073921
Enrollment ID: I20160914000346
Provider NameLily Anna Limon
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1841761434
PECOS PAC ID: 9436567278
Enrollment ID: I20210416000726
Provider NameBethany Whitson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1477052876
PECOS PAC ID: 0648688127
Enrollment ID: I20210422000035

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.