| M & M Medical P.c. | |
|
15182 N 75th Ave 180 Peoria AZ 85381-4722 | |
| (623) 487-3334 | |
| (623) 487-3656 |
| Full Name | M & M Medical P.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 15182 N 75th Ave, Peoria, Arizona |
| Authorized Official Name and Position | Ivan Michael Filner (PRESIDENT) |
| Authorized Official Contact | 6234873334 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| M & M Medical P.c. 15182 N 75th Ave 180 Peoria AZ 85381-4722 Ph: (623) 487-3334 | M & M Medical P.c. 15182 N 75th Ave 180 Peoria AZ 85381-4722 Ph: (623) 487-3334 |
| NPI Number | 1093973505 |
|---|---|
| Provider Enumeration Date | 05/30/2008 |
| Last Update Date | 10/25/2011 |
| Medicare PECOS PAC ID | 2466600812 |
|---|---|
| Medicare Enrollment ID | O20120910000908 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093973505 | NPI | - | NPPES |
| AZ0840950 | Other | AZ | BCBS |
| 641417 | Medicaid | AZ | |
| F00981 | Other | AZ | PHOENIX HEALTH PLAN |
| 52892 | Other | AZ | AETNA |
| 1Z7949 | Other | AZ | HEALTHNET |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 3383 (Arizona) | Primary |
| Provider Name | Ivan M Filner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003982059 PECOS PAC ID: 5890688626 Enrollment ID: I20040205000598 |
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