Mercy Grace Private Practice - Medicare Primary Care in Gilbert, AZ

Mercy Grace Private Practice is a medicare enrolled primary clinic (Clinic/center - Primary Care) in Gilbert, Arizona. The current practice location for Mercy Grace Private Practice is 1720 E Boston St, Gilbert, Arizona. For appointments, you can reach them via phone at (480) 745-3702. The mailing address for Mercy Grace Private Practice is 1720 E Boston St, Gilbert, Arizona and phone number is (480) 745-3702.

Mercy Grace Private Practice is licensed to practice in Arizona (license number 40145). The clinic also participates in the medicare program and its NPI number is 1225462468. 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 (480) 745-3702.

Contact Information

Mercy Grace Private Practice
1720 E Boston St
Gilbert
AZ 85295-6226
(480) 745-3702
(480) 745-3709

Map and Direction


Primary Care Clinic Profile

Full NameMercy Grace Private Practice
SpecialityClinic/Center
Location1720 E Boston St, Gilbert, Arizona
Authorized Official Name and PositionMichelle Reyes (OFFICE MANAGER)
Authorized Official Contact4807453704
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mercy Grace Private Practice
1720 E Boston St
Gilbert
AZ 85295-6226

Ph: (480) 745-3702
Mercy Grace Private Practice
1720 E Boston St
Gilbert
AZ 85295-6226

Ph: (480) 745-3702

NPI Details:

NPI Number1225462468
Provider Enumeration Date08/23/2013
Last Update Date07/17/2024

Medicare PECOS Information:

Medicare PECOS PAC ID4789807280
Medicare Enrollment IDO20140602002451

Medical Identifiers

Medical identifiers for Mercy Grace Private Practice such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225462468NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QP2300XClinic/center - Primary Care 40145 (Arizona)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Mercy Grace Private Practice acts as a billing entity for following providers:
Provider NameHope M Ijaola
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1518120500
PECOS PAC ID: 3375619950
Enrollment ID: I20080904000681
Provider NameNancy Cecile Erdmann
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1194848002
PECOS PAC ID: 7618102435
Enrollment ID: I20131104000906
Provider NameCandice Moore
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1447884846
PECOS PAC ID: 3971929787
Enrollment ID: I20200811002321
Provider NameFarheen I Khan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497369219
PECOS PAC ID: 0648687533
Enrollment ID: I20210319001398

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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.