John C. Lincoln Urgent Care - Medicare Primary Care in Phoenix, AZ

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John C. Lincoln Urgent Care is a medicare enrolled primary clinic (Clinic/center - Urgent Care) in Phoenix, Arizona. The current practice location for John C. Lincoln Urgent Care is 1515 E Bethany Home Road, Phoenix, Arizona. For appointments, you can reach them via phone at (602) 812-3080. The mailing address for John C. Lincoln Urgent Care is Po Box 845635, Los Angeles, California and phone number is (623) 434-6444.

John C. Lincoln Urgent Care is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1740273614. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (602) 812-3080.

Contact Information

John C. Lincoln Urgent Care
1515 E Bethany Home Road
Phoenix
AZ 85014-2496
(602) 812-3080
(602) 274-1168

Map and Direction


Primary Care Clinic Profile

Full NameJohn C. Lincoln Urgent Care
SpecialityClinic/Center
Location1515 E Bethany Home Road, Phoenix, Arizona
Authorized Official Name and PositionRichard Silver (CEO)
Authorized Official Contact4808825956
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
John C. Lincoln Urgent Care
Po Box 845635
Los Angeles
CA 90084-5635

Ph: (623) 434-6444		John C. Lincoln Urgent Care
1515 E Bethany Home Road
Phoenix
AZ 85014-2496

Ph: (602) 812-3080

NPI Details:

NPI Number1740273614
Provider Enumeration Date08/25/2005
Last Update Date09/13/2023

Medicare PECOS Information:

Medicare PECOS PAC ID0345130266
Medicare Enrollment IDO20040316000867

Medical Identifiers

Medical identifiers for John C. Lincoln Urgent Care such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1740273614NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Secondary
261QU0200XClinic/center - Urgent Care (* (Not Available))Primary
261QX0100XClinic/center - Occupational Medicine (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. John C. Lincoln Urgent Care acts as a billing entity for following providers:
Provider NameJeffrey L Amato
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1821026154
PECOS PAC ID: 1456342591
Enrollment ID: I20040519000376
Provider NamePhillip V Pileggi
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1023046430
PECOS PAC ID: 5597756494
Enrollment ID: I20040520000011
Provider NameThomas P Morris
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1225001118
PECOS PAC ID: 7719962166
Enrollment ID: I20040621001374
Provider NameBruce P Packer
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1356348338
PECOS PAC ID: 0840188983
Enrollment ID: I20040624001055
Provider NameJack N Poles
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1962484949
PECOS PAC ID: 4385685825
Enrollment ID: I20050516000437
Provider NameStephen J Wedding
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1598708000
PECOS PAC ID: 2365487444
Enrollment ID: I20050621000271
Provider NameKristen L Green
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255511713
PECOS PAC ID: 3173549672
Enrollment ID: I20051024000090
Provider NameVimala M Kukunoor
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1063477495
PECOS PAC ID: 9638082795
Enrollment ID: I20051121000474
Provider NameGregory A Bode
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1831138239
PECOS PAC ID: 7113940685
Enrollment ID: I20060111000008
Provider NameEmily A Winett
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1063444552
PECOS PAC ID: 4486658390
Enrollment ID: I20060907000498
Provider NameJoshua A Millstein
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1376749721
PECOS PAC ID: 5092816652
Enrollment ID: I20070726000170
Provider NameKarin J Oclair
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1598726051
PECOS PAC ID: 6204928211
Enrollment ID: I20070822001053
Provider NameTennille A Allen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1811179898
PECOS PAC ID: 5597848945
Enrollment ID: I20080208000277
Provider NameJustin W Wight
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1467641811
PECOS PAC ID: 4880763796
Enrollment ID: I20080519000519
Provider NamePurna Chettri
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1487815221
PECOS PAC ID: 4688729692
Enrollment ID: I20090827000069
Provider NameJose Ivan A Rago
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1477714137
PECOS PAC ID: 0244379774
Enrollment ID: I20091123000418
Provider NamePatrick M Knowles
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1053313452
PECOS PAC ID: 3476650193
Enrollment ID: I20091123000720
Provider NameSusan S Eller
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558699595
PECOS PAC ID: 4587705165
Enrollment ID: I20100105000010
Provider NameWendell B Phillips
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1598757114
PECOS PAC ID: 4486798287
Enrollment ID: I20100217000398
Provider NameAlfredo L Lim
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1225002371
PECOS PAC ID: 6709920465
Enrollment ID: I20100218000236
Provider NameJerome E Rubbelke
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1164415113
PECOS PAC ID: 4587709472
Enrollment ID: I20100303000496
Provider NameTanya C Cavallaro Moretti
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1265761399
PECOS PAC ID: 8325236250
Enrollment ID: I20101220000731
Provider NameRomina Lo Montano
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1306165485
PECOS PAC ID: 9032396932
Enrollment ID: I20110601000700
Provider NameHilary C Daley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1093016404
PECOS PAC ID: 4880872704
Enrollment ID: I20110624000109
Provider NameAlyssa Haspel Siegel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548344567
PECOS PAC ID: 5496781916
Enrollment ID: I20110726000007
Provider NameLauren Ashley Schwartz
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1730464066
PECOS PAC ID: 7113191537
Enrollment ID: I20111122000184
Provider NameStefanie M Maass
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497033468
PECOS PAC ID: 7214195569
Enrollment ID: I20120216000325
Provider NameLisa K Dugan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1487955357
PECOS PAC ID: 3173781184
Enrollment ID: I20120222000618
Provider NameChristopher Bonati
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1407016884
PECOS PAC ID: 2860652252
Enrollment ID: I20120321000826
Provider NameLaura S Oconnor
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1437418621
PECOS PAC ID: 9537315544
Enrollment ID: I20120807000726
Provider NameJennifer A Lembas
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1073862132
PECOS PAC ID: 5193976058
Enrollment ID: I20121127000448
Provider NameBrenda F Geisler
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1861736464
PECOS PAC ID: 5294768453
Enrollment ID: I20121210000102
Provider NameSarah Z Sonchik
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1306190459
PECOS PAC ID: 1759534043
Enrollment ID: I20130117000435
Provider NameCorina J Veatch
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1255592697
PECOS PAC ID: 7810140902
Enrollment ID: I20130124000272
Provider NameCynthia M Spray
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1104853233
PECOS PAC ID: 1759382773
Enrollment ID: I20130211000181
Provider NameMaureen Boyle
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1871833871
PECOS PAC ID: 3476708728
Enrollment ID: I20130312000583
Provider NameJeannine L Hinds
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1699091694
PECOS PAC ID: 3678711868
Enrollment ID: I20130806000847
Provider NameChristine A Moe
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1467715763
PECOS PAC ID: 1456508985
Enrollment ID: I20130913000076
Provider NameDebra J Motrych
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1679911028
PECOS PAC ID: 0446486526
Enrollment ID: I20131119001782
Provider NameKristen L Thomsen
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1841216884
PECOS PAC ID: 0446224836
Enrollment ID: I20131226000126
Provider NameShera L Tonazzi
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1922447747
PECOS PAC ID: 4183840820
Enrollment ID: I20140801000433
Provider NameHeather L Juniper
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1396159554
PECOS PAC ID: 1153540315
Enrollment ID: I20140919002258
Provider NameJohn P Deuel
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1164461729
PECOS PAC ID: 9830195650
Enrollment ID: I20141007000034
Provider NameAndrew Tapia
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1083909378
PECOS PAC ID: 7214158757
Enrollment ID: I20141024002040
Provider NameBrenda L Leon
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700219706
PECOS PAC ID: 3779705454
Enrollment ID: I20141113000413
Provider NameNicholas Kucinski
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1477817450
PECOS PAC ID: 6305068099
Enrollment ID: I20141113000505
Provider NameNancy Alvarado
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1295131514
PECOS PAC ID: 9032431861
Enrollment ID: I20141206000327
Provider NameRenee A Ostin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1235355843
PECOS PAC ID: 4385953751
Enrollment ID: I20151026001751
Provider NameErin Elizabeth Shelton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1447622782
PECOS PAC ID: 7810297306
Enrollment ID: I20151207001130
Provider NameJessica Wilson Tapia
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1982095493
PECOS PAC ID: 7214256494
Enrollment ID: I20160407002292
Provider NameJonathan Fosbre
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1306203195
PECOS PAC ID: 6608174024
Enrollment ID: I20160418001536
Provider NameJennifer M Iacovo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1447609201
PECOS PAC ID: 0840583035
Enrollment ID: I20160726001356
Provider NameTena M Lazarus
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1104274505
PECOS PAC ID: 8729373592
Enrollment ID: I20160818002485
Provider NameMckenzie L Siemion
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1720438682
PECOS PAC ID: 7810282308
Enrollment ID: I20160823001572
Provider NameMelissa I Sheridan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1659310530
PECOS PAC ID: 0345528485
Enrollment ID: I20161025001840
Provider NameTara S Raczka
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1710288105
PECOS PAC ID: 2062682842
Enrollment ID: I20161027001213
Provider NameMichael Talkar
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1790723997
PECOS PAC ID: 5193781599
Enrollment ID: I20161109000868
Provider NameEric R Chen
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1730591249
PECOS PAC ID: 4688990450
Enrollment ID: I20161216001454
Provider NameColleen L I Cox
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1699197046
PECOS PAC ID: 1759509466
Enrollment ID: I20161223000264
Provider NameEric Hoffman
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1124226873
PECOS PAC ID: 0345335618
Enrollment ID: I20170912002597
Provider NameJulie A Osgood
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1801319421
PECOS PAC ID: 2264707397
Enrollment ID: I20170929000081
Provider NameLindsay J Baltzer
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1932588944
PECOS PAC ID: 3870863475
Enrollment ID: I20170929001161
Provider NameKathryn Falvey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1568904209
PECOS PAC ID: 8921366998
Enrollment ID: I20180109001261
Provider NameLauren A Bisswurm
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1043720766
PECOS PAC ID: 7618236431
Enrollment ID: I20180123002947
Provider NameErica L Stevens
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558898650
PECOS PAC ID: 4688936313
Enrollment ID: I20180316001801
Provider NameAndrew Jason Wood
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1902308042
PECOS PAC ID: 4981967114
Enrollment ID: I20180420001332
Provider NameAshley R Mitchell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1356707509
PECOS PAC ID: 3678837796
Enrollment ID: I20180425002597
Provider NameTresa Berry
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1275041428
PECOS PAC ID: 2466709548
Enrollment ID: I20180719003732
Provider NameMatthew S Zweig
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1003298480
PECOS PAC ID: 9931459559
Enrollment ID: I20180831001521
Provider NameChristopher Samuel Murphy
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1235519562
PECOS PAC ID: 4284904889
Enrollment ID: I20180928002156
Provider NameVicki A Rogove
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1255483988
PECOS PAC ID: 6002998275
Enrollment ID: I20181213000589
Provider NameKari Vosika
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1467924704
PECOS PAC ID: 7012258973
Enrollment ID: I20190403001399
Provider NameDebra Mccain
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1043776867
PECOS PAC ID: 3577806462
Enrollment ID: I20190516001025
Provider NamePaige Figa Church
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013485044
PECOS PAC ID: 0042543365
Enrollment ID: I20190531000534
Provider NameFarah H Akhdar
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1851736169
PECOS PAC ID: 0648576801
Enrollment ID: I20190605003310
Provider NameKrista Lynn Sinclair
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1730746959
PECOS PAC ID: 0648508226
Enrollment ID: I20190820003486
Provider NameDaniel W Chang
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1578959862
PECOS PAC ID: 6709195548
Enrollment ID: I20191001002684
Provider NameRuth Kendra Rivera
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1871981076
PECOS PAC ID: 8527383348
Enrollment ID: I20191003003726
Provider NameKristine N Saygan
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1114344678
PECOS PAC ID: 9638499825
Enrollment ID: I20191017001957
Provider NameKristen Lynn Stout
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1053876722
PECOS PAC ID: 8325370489
Enrollment ID: I20191023001404
Provider NameAlisha Lipsey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1033645718
PECOS PAC ID: 2668704974
Enrollment ID: I20191105002347
Provider NamePallavi Suvarna
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1770931578
PECOS PAC ID: 4284929274
Enrollment ID: I20191112003330
Provider NameRowena Ramos
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1033674759
PECOS PAC ID: 2668806548
Enrollment ID: I20191231001283
Provider NameBreckyn Jones
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1811531494
PECOS PAC ID: 6103252598
Enrollment ID: I20200203001738
Provider NameAnthony Carano
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1538706478
PECOS PAC ID: 5092141200
Enrollment ID: I20200206002942
Provider NameAnne Burriss
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154951028
PECOS PAC ID: 0648601559
Enrollment ID: I20200508002537
Provider NameKatie M Martinez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1821651753
PECOS PAC ID: 0941621023
Enrollment ID: I20200527002156
Provider NameMarissa K Jacobs
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1821522632
PECOS PAC ID: 2567885650
Enrollment ID: I20200708001084
Provider NameSteven Joel Schlink
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1699390039
PECOS PAC ID: 1850714544
Enrollment ID: I20200714002045
Provider NameShavith G Samson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1578097374
PECOS PAC ID: 9133490212
Enrollment ID: I20200803003394
Provider NameKellen Joseph Hayes
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1881076974
PECOS PAC ID: 8022366491
Enrollment ID: I20200805000925
Provider NameMatthew Braig
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1356705610
PECOS PAC ID: 0244525491
Enrollment ID: I20200817000672
Provider NameBrittany A Miranda
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1821614587
PECOS PAC ID: 1850718701
Enrollment ID: I20200824003248
Provider NameJustin B Stevenson
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1114450699
PECOS PAC ID: 5496173346
Enrollment ID: I20200909003366
Provider NameAlexa Rae Mckinnon
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1629612890
PECOS PAC ID: 3678904877
Enrollment ID: I20201028002171
Provider NameJennifer Alfafara
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1104432756
PECOS PAC ID: 3870906928
Enrollment ID: I20210108001300
Provider NameSteven Gregory Gonos
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1932789989
PECOS PAC ID: 2466860770
Enrollment ID: I20210426000788
Provider NameAmanda J Foster
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1487244562
PECOS PAC ID: 0446669931
Enrollment ID: I20210513001624
Provider NameCoddie Tatro
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1073119442
PECOS PAC ID: 5092114074
Enrollment ID: I20210524002268
Provider NameRachel Lugo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1114514247
PECOS PAC ID: 3476959305
Enrollment ID: I20210901001281
Provider NameJason Anderson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1073947115
PECOS PAC ID: 5890192421
Enrollment ID: I20210924001581
Provider NamePeter Gills
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1376039560
PECOS PAC ID: 5092140202
Enrollment ID: I20210929002429
Provider NameAli Ali
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1447679360
PECOS PAC ID: 9638479553
Enrollment ID: I20211014003185
Provider NameJocelyn Bowker
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1477059723
PECOS PAC ID: 1456604347
Enrollment ID: I20211015001498
Provider NamePatricia Daschievici
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1780346908
PECOS PAC ID: 1759779127
Enrollment ID: I20211104001023
Provider NameSeth Harly Larsen
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1447633110
PECOS PAC ID: 2860881810
Enrollment ID: I20211111002579
Provider NameDawn R Mielke
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1487754222
PECOS PAC ID: 1850780834
Enrollment ID: I20211112000898
Provider NameLindsay Porter
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1891140760
PECOS PAC ID: 2567797566
Enrollment ID: I20211206002642
Provider NameAmber L Cordell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669130704
PECOS PAC ID: 0042602740
Enrollment ID: I20220107002087
Provider NameGraceann Freeman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124227244
PECOS PAC ID: 4082776562
Enrollment ID: I20220503002112
Provider NameMichael Ravelo
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1841511714
PECOS PAC ID: 0547402364
Enrollment ID: I20220615000310
Provider NameVanessa Carlos-medina
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1598338592
PECOS PAC ID: 5294115309
Enrollment ID: I20220707001434
Provider NameAleksandra Leduff
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1326790858
PECOS PAC ID: 9830570969
Enrollment ID: I20220720001229
Provider NameKayla Davis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1306579826
PECOS PAC ID: 7214319946
Enrollment ID: I20220727003940
Provider NameCarlos Arturo Mancilla
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1558894204
PECOS PAC ID: 4284906330
Enrollment ID: I20220829001148
Provider NameAmber Danielle Lindsey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1619590775
PECOS PAC ID: 5799154191
Enrollment ID: I20221207000241
Provider NameHong Cui
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1316038664
PECOS PAC ID: 3678634383
Enrollment ID: I20231020001245
Provider NameTabetha Buzbee
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1790462687
PECOS PAC ID: 3173970258
Enrollment ID: I20231110001707
Provider NameLauren Kay
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1740804046
PECOS PAC ID: 1759709215
Enrollment ID: I20231114003402
Provider NameMary Macon Price
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1811375132
PECOS PAC ID: 3577878602
Enrollment ID: I20231206004083
Provider NameKelli Marie Green
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1417639246
PECOS PAC ID: 1456702158
Enrollment ID: I20240107000159
Provider NameAndreas Johanes Thude
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1336684075
PECOS PAC ID: 5395197909
Enrollment ID: I20240119000645
Provider NameShane Ray Smith
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1326721796
PECOS PAC ID: 3971949280
Enrollment ID: I20240308002827

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Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 11030 N Tatum Blvd, Ste 101, Phoenix, AZ 85028
Phone: 602-687-8265    
Deborah L Dykema Do Pc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 20045 N 19th Ave Bldg 9-151, Phoenix, AZ 85027
Phone: 602-978-1555    
Scottsdale Housecall Physicians, Llc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 11030 N Tatum Blvd Ste 101, Phoenix, AZ 85028
Phone: 602-687-8265    
Wings Of Hope Medical Services, Llc
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 11022 N 28th Dr Ste 205, Phoenix, AZ 85029
Phone: 602-971-0304    Fax: 602-971-0305
Sheperd Care
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 9150 W Indian School Rd Ste 111b, Phoenix, AZ 85037
Phone: 623-247-2300    Fax: 623-247-1939

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.