New Pioneer Medical Associates Inc. | |
1150 N Country Club Dr Ste 1 Mesa AZ 85201-2537 | |
(480) 834-4320 | |
(480) 834-0009 |
Full Name | New Pioneer Medical Associates Inc. |
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Speciality | Family Medicine |
Location | 1150 N Country Club Dr Ste 1, Mesa, Arizona |
Authorized Official Name and Position | Angie Vanhelder (ADMINISTRATOR) |
Authorized Official Contact | 4808344320 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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New Pioneer Medical Associates Inc. 1150 N Country Club Dr Ste 1 Mesa AZ 85201-2537 Ph: (480) 834-4320 | New Pioneer Medical Associates Inc. 1150 N Country Club Dr Ste 1 Mesa AZ 85201-2537 Ph: (480) 834-4320 |
NPI Number | 1669481172 |
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Provider Enumeration Date | 08/05/2006 |
Last Update Date | 11/25/2008 |
Medicare PECOS PAC ID | 2961489505 |
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Medicare Enrollment ID | O20040701001108 |
Identifier | Type | State | Issuer |
---|---|---|---|
1669481172 | NPI | - | NPPES |
133166 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 19203 (Arizona) | Primary |
Provider Name | Walter P Vanhelder |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1720161706 PECOS PAC ID: 5799845889 Enrollment ID: I20081119000432 |
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