| Novakovic Family Practice | |
|
604 W Warner Rd Suite E101 Chandler AZ 85225-2906 | |
| (480) 775-4700 | |
| (480) 775-4780 |
| Full Name | Novakovic Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 604 W Warner Rd, Chandler, Arizona |
| Authorized Official Name and Position | Petar N Novakovic (OWNER) |
| Authorized Official Contact | 4807759333 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Novakovic Family Practice 604 W Warner Rd Suite E101 Chandler AZ 85225-2906 Ph: (480) 775-4700 | Novakovic Family Practice 604 W Warner Rd Suite E101 Chandler AZ 85225-2906 Ph: (480) 775-4700 |
| NPI Number | 1316982481 |
|---|---|
| Provider Enumeration Date | 06/20/2006 |
| Last Update Date | 04/17/2019 |
| Medicare PECOS PAC ID | 6305841891 |
|---|---|
| Medicare Enrollment ID | O20060915000086 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316982481 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Sun H Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124091756 PECOS PAC ID: 2365436128 Enrollment ID: I20040413001729 |
| Provider Name | Petar N Novakovic |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255388831 PECOS PAC ID: 7315918372 Enrollment ID: I20040803001339 |
| Provider Name | Zhanna Sheleg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912653577 PECOS PAC ID: 8123476165 Enrollment ID: I20231130002996 |
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