Novellus Health Llc | |
1138 N Oro Vis Litchfield Park AZ 85340-4548 | |
(602) 888-2344 | |
(480) 712-1305 |
Full Name | Novellus Health Llc |
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Speciality | Family Medicine |
Location | 1138 N Oro Vis, Litchfield Park, Arizona |
Authorized Official Name and Position | Paul Kessler (OWNER) |
Authorized Official Contact | 6028882344 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Novellus Health Llc 5115 N Dysart Rd Ste 202 Unit 193 Litchfield Park AZ 85340-3036 Ph: (602) 510-8627 | Novellus Health Llc 1138 N Oro Vis Litchfield Park AZ 85340-4548 Ph: (602) 888-2344 |
NPI Number | 1457978967 |
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Provider Enumeration Date | 06/30/2020 |
Last Update Date | 06/30/2020 |
Medicare PECOS PAC ID | 4587089933 |
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Medicare Enrollment ID | O20200803001808 |
Identifier | Type | State | Issuer |
---|---|---|---|
1457978967 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
207QB0002X | Family Medicine - Obesity Medicine | (* (Not Available)) | Secondary |
Provider Name | Teresa Marie Gaither |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568835890 PECOS PAC ID: 9931480985 Enrollment ID: I20170105000804 |
Provider Name | Andrea Kessler |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144783952 PECOS PAC ID: 7012240310 Enrollment ID: I20190530003035 |
Provider Name | Bernadette Rojvanit |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104487735 PECOS PAC ID: 2769815729 Enrollment ID: I20210428000539 |
Provider Name | Stella Simone Bernard |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508457359 PECOS PAC ID: 9436568334 Enrollment ID: I20210505002005 |
Provider Name | Cassie Lynn Pettit |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396314894 PECOS PAC ID: 4981071628 Enrollment ID: I20221109000718 |
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