| Kachina Family Medicine | |
|
16611 S 40th St Suite 120 Phoenix AZ 85048 | |
| (480) 706-4100 | |
| (480) 706-2600 |
| Full Name | Kachina Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 16611 S 40th St, Phoenix, Arizona |
| Authorized Official Name and Position | Jaron Joseph Fischbeck (PRESIDENT) |
| Authorized Official Contact | 4807064100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kachina Family Medicine 16611 S 40th St Suite 120 Phoenix AZ 85048 Ph: (480) 706-4100 | Kachina Family Medicine 16611 S 40th St Suite 120 Phoenix AZ 85048 Ph: (480) 706-4100 |
| NPI Number | 1467508432 |
|---|---|
| Provider Enumeration Date | 01/25/2007 |
| Last Update Date | 04/30/2020 |
| Medicare PECOS PAC ID | 3274427802 |
|---|---|
| Medicare Enrollment ID | O20040212000697 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467508432 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| Provider Name | Jaron J Fischbeck |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760497325 PECOS PAC ID: 1658399654 Enrollment ID: I20051108000947 |
| Provider Name | Robert Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144859307 PECOS PAC ID: 2769802271 Enrollment ID: I20230627000517 |
| Provider Name | Bridget Natalie Blansfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679250393 PECOS PAC ID: 8325401029 Enrollment ID: I20230829001248 |
Richard A. Snider, Md, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12010 S Warner Elliot Loop, Phoenix, AZ 85044 Phone: 480-893-2644 | |
Kelly H. Roy, Md, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1008 E Mcdowell Rd, Phoenix, AZ 85006 Phone: 602-358-8588 Fax: 602-688-6991 | |
My Family Doctor In The Valley Pllc 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 |