Optimal Care And Wellness Llc | |
74 W 2nd St Yuma AZ 85364-2250 | |
(928) 257-1223 | |
(928) 267-4091 |
Full Name | Optimal Care And Wellness Llc |
---|---|
Speciality | Family Medicine |
Location | 74 W 2nd St, Yuma, Arizona |
Authorized Official Name and Position | Yesenia Gianaros (NP) |
Authorized Official Contact | 9282571223 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Optimal Care And Wellness Llc 74 W 2nd St Yuma AZ 85364-2250 Ph: (928) 287-0033 | Optimal Care And Wellness Llc 74 W 2nd St Yuma AZ 85364-2250 Ph: (928) 257-1223 |
NPI Number | 1699457176 |
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Provider Enumeration Date | 08/03/2023 |
Last Update Date | 04/10/2024 |
Medicare PECOS PAC ID | 8921453168 |
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Medicare Enrollment ID | O20231009001921 |
Identifier | Type | State | Issuer |
---|---|---|---|
1699457176 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Yesenia Gianaros |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215429063 PECOS PAC ID: 5799032462 Enrollment ID: I20180726001232 |
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