| Grayhawk Medical Group, Pllc | |
|
7920 E Thompson Peak Pkwy Suite 100 Scottsdale AZ 85255-7402 | |
| (480) 661-1679 | |
| (480) 661-4125 |
| Full Name | Grayhawk Medical Group, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 7920 E Thompson Peak Pkwy, Scottsdale, Arizona |
| Authorized Official Name and Position | Michael D. Nunez (OWNER) |
| Authorized Official Contact | 4806611679 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Grayhawk Medical Group, Pllc 7920 E Thompson Peak Pkwy Suite 100 Scottsdale AZ 85255-7402 Ph: (480) 661-1679 | Grayhawk Medical Group, Pllc 7920 E Thompson Peak Pkwy Suite 100 Scottsdale AZ 85255-7402 Ph: (480) 661-1679 |
| NPI Number | 1467716639 |
|---|---|
| Provider Enumeration Date | 07/02/2012 |
| Last Update Date | 09/19/2017 |
| Medicare PECOS PAC ID | 2567614951 |
|---|---|
| Medicare Enrollment ID | O20121211000324 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467716639 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Michael D Nunez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275686008 PECOS PAC ID: 7113945544 Enrollment ID: I20051104000017 |
| Provider Name | Sandy R Sargent |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952694861 PECOS PAC ID: 1254507650 Enrollment ID: I20120106000444 |
| Provider Name | Brenda Renee Junior |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093226698 PECOS PAC ID: 2567727175 Enrollment ID: I20180601001231 |
| Provider Name | Casey Lynn Bourque |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508482902 PECOS PAC ID: 6406276799 Enrollment ID: I20201027001166 |
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