| In Motion Medical | |
|
12035 N Saguaro Blvd Ste 203 Fountain Hills AZ 85268 | |
| (623) 256-3986 | |
| Not Available |
| Full Name | In Motion Medical |
|---|---|
| Speciality | Family Medicine |
| Location | 12035 N Saguaro Blvd, Fountain Hills, Arizona |
| Authorized Official Name and Position | Kelli L Casady (MEMBER) |
| Authorized Official Contact | 4804622950 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| In Motion Medical 12035 N Saguaro Blvd Ste 203 Fountain Hills AZ 85268-4647 Ph: (480) 462-2950 | In Motion Medical 12035 N Saguaro Blvd Ste 203 Fountain Hills AZ 85268 Ph: (623) 256-3986 |
| NPI Number | 1154856474 |
|---|---|
| Provider Enumeration Date | 04/24/2017 |
| Last Update Date | 06/05/2018 |
| Medicare PECOS PAC ID | 2365710019 |
|---|---|
| Medicare Enrollment ID | O20170621001185 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154856474 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | (* (Not Available)) | Primary |
| 363LA2200X | Nurse Practitioner - Adult Health | (* (Not Available)) | Secondary |
| Provider Name | Jaber J Abawi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629038542 PECOS PAC ID: 1456242205 Enrollment ID: I20050902000448 |
| Provider Name | David L Jensen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174855159 PECOS PAC ID: 1153455670 Enrollment ID: I20100818001090 |
| Provider Name | Donald Lee Pierce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013912294 PECOS PAC ID: 4183780695 Enrollment ID: I20150120000261 |
| Provider Name | Carrie Ann Licklider |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649812231 PECOS PAC ID: 6406280528 Enrollment ID: I20191226001156 |
| Provider Name | Sandra R Garner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134761240 PECOS PAC ID: 7618302613 Enrollment ID: I20200122001090 |
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