| Innovative Family Health Practices Llc | |
|
4135 S Power Rd Ste 120 Mesa AZ 85212-3626 | |
| (480) 892-7000 | |
| (480) 545-7001 |
| Full Name | Innovative Family Health Practices Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 4135 S Power Rd Ste 120, Mesa, Arizona |
| Authorized Official Name and Position | Renee De Jesus (OWNER) |
| Authorized Official Contact | 4808927000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Innovative Family Health Practices Llc 4135 S Power Rd Ste 120 Mesa AZ 85212-3626 Ph: (480) 892-7000 | Innovative Family Health Practices Llc 4135 S Power Rd Ste 120 Mesa AZ 85212-3626 Ph: (480) 892-7000 |
| NPI Number | 1942866017 |
|---|---|
| Provider Enumeration Date | 05/14/2019 |
| Last Update Date | 01/14/2020 |
| Medicare PECOS PAC ID | 8224364005 |
|---|---|
| Medicare Enrollment ID | O20190731003849 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942866017 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Gary Milton Randall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194733733 PECOS PAC ID: 3678563723 Enrollment ID: I20130909000719 |
| Provider Name | Devin J Welker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255976858 PECOS PAC ID: 0143659821 Enrollment ID: I20200331003240 |
Ohana Kids & Family Kare Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3130 E Baseline Rd Ste 103, Mesa, AZ 85204 Phone: 480-539-7618 Fax: 480-900-8884 | |
True Patriot Consulting, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1134 E University Dr Ste 111, Mesa, AZ 85203 Phone: 480-398-1220 Fax: 480-398-1238 | |
M.g.t Rn Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7117 E Peralta Cir, Mesa, AZ 85212 Phone: 480-430-0721 | |
Stillpoint Wellness, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2266 S Dobson Rd Ste 200, Mesa, AZ 85202 Phone: 480-280-1996 Fax: 602-532-7649 | |
Cactus Pediatric Orthopaedics, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1500 S Dobson Rd Ste 200, Mesa, AZ 85202 Phone: 480-551-0300 | |
Voyage Medical Primary Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1130 W Grove Ave Ste 115, Mesa, AZ 85210 Phone: 480-685-0930 | |
Tripp Family Medicine, P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2830 E Brown Rd, Suite 1, Mesa, AZ 85213 Phone: 480-830-7546 Fax: 480-830-7550 |