| Greenfield Family Medicine Llc | |
|
1244 N. Greenfield Rd. Suite 104 Mesa AZ 85205 | |
| (480) 964-6900 | |
| (480) 964-6901 |
| Full Name | Greenfield Family Medicine Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1244 N. Greenfield Rd., Mesa, Arizona |
| Authorized Official Name and Position | Carla Jean Jenkins (OFFICE MANAGER) |
| Authorized Official Contact | 4809646900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Greenfield Family Medicine Llc 1244 N. Greenfield Rd. Suite 104 Mesa AZ 85205 Ph: (480) 964-6900 | Greenfield Family Medicine Llc 1244 N. Greenfield Rd. Suite 104 Mesa AZ 85205 Ph: (480) 964-6900 |
| NPI Number | 1336255264 |
|---|---|
| Provider Enumeration Date | 08/22/2006 |
| Last Update Date | 07/20/2023 |
| Medicare PECOS PAC ID | 1254331309 |
|---|---|
| Medicare Enrollment ID | O20070113000146 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336255264 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 2584 (Arizona) | Primary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 363AM0700X | Physician Assistant - Medical | 2764 (Arizona) | Secondary |
| Provider Name | Andrew D Burrell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558355990 PECOS PAC ID: 9133154396 Enrollment ID: I20050927001154 |
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