<unavail> in Surprise, AZ - Medicare Family Medicine

is a medicare enrolled primary clinic (Family Medicine) in Surprise, Arizona. The current practice location for is 14800 W Mountain View Blvd, Suite 250, Surprise, Arizona. For appointments, you can reach them via phone at (623) 584-7805. The mailing address for is 14800 W Mountain View Blvd, Suite 250, Surprise, Arizona and phone number is (623) 584-7805.

is licensed to practice in Arizona (license number 3587). The clinic also participates in the medicare program and its NPI number is 1811186802. 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 (623) 584-7805.

Contact Information


	14800 W Mountain View Blvd Suite 250 Surprise AZ 85374-4795
	(623) 584-7805
	(623) 584-7856

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Family Medicine
Location	14800 W Mountain View Blvd, Surprise, Arizona
Authorized Official Name and Position	Adam Shane Nally (PRESIDENT/PHYSICIAN)
Authorized Official Contact	6235847805
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
14800 W Mountain View Blvd Suite 250 Surprise AZ 85374-4795 Ph: (623) 584-7805	14800 W Mountain View Blvd Suite 250 Surprise AZ 85374-4795 Ph: (623) 584-7805

NPI Details:

NPI Number	1811186802
Provider Enumeration Date	10/16/2007
Last Update Date	08/14/2020

Medicare PECOS Information:

Medicare PECOS PAC ID	2062496078
Medicare Enrollment ID	O20040616001401

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1811186802	NPI	-	NPPES
704199	Medicaid	AZ

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	3587 (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. acts as a billing entity for following providers:

Provider Name	Brittany L Anderson
Provider Type	Practitioner - Nurse Practitioner
Provider Identifiers	NPI Number: 1871253104 PECOS PAC ID: 7315332152 Enrollment ID: I20220315000636

Reviews and Comments

Family Medicine in Surprise, AZ

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- Medicare Primary Care in Surprise, AZ