| Internal Medicine Physicians Associates Pc | |
|
345 E Virginia Ave Phoenix AZ 85004-1202 | |
| (602) 258-5545 | |
| (602) 424-2129 |
| Full Name | Internal Medicine Physicians Associates Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 345 E Virginia Ave, Phoenix, Arizona |
| Authorized Official Name and Position | Frank A Agnone (PHYSICIAN) |
| Authorized Official Contact | 6022585545 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Internal Medicine Physicians Associates Pc 345 E Virginia Ave Phoenix AZ 85004-1202 Ph: (602) 258-5545 | Internal Medicine Physicians Associates Pc 345 E Virginia Ave Phoenix AZ 85004-1202 Ph: (602) 258-5545 |
| NPI Number | 1457364168 |
|---|---|
| Provider Enumeration Date | 08/14/2006 |
| Last Update Date | 01/09/2019 |
| Medicare PECOS PAC ID | 4284613886 |
|---|---|
| Medicare Enrollment ID | O20040716000933 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457364168 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Marc L Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962498709 PECOS PAC ID: 9931263696 Enrollment ID: I20090126000439 |
| Provider Name | Frank A Agnone |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891783411 PECOS PAC ID: 6002851581 Enrollment ID: I20101019001612 |
| Provider Name | Ann M Lacey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346509833 PECOS PAC ID: 0941457261 Enrollment ID: I20120821001067 |
| Provider Name | Christine T Minch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669881819 PECOS PAC ID: 1658327747 Enrollment ID: I20150618000489 |
| Provider Name | Caitlin M Woerner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265064539 PECOS PAC ID: 0244656155 Enrollment ID: I20200821001014 |
| Provider Name | Breanna Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760077093 PECOS PAC ID: 6305213679 Enrollment ID: I20221031001836 |
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