P&g Family Practice Pllc | |
1653 E Mcmurray Blvd Ste 144a Casa Grande AZ 85122-5934 | |
(480) 883-3011 | |
(480) 802-3874 |
Full Name | P&g Family Practice Pllc |
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Speciality | Family Medicine |
Location | 1653 E Mcmurray Blvd Ste 144a, Casa Grande, Arizona |
Authorized Official Name and Position | Chetan Patel (OWNER) |
Authorized Official Contact | 5207237726 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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P&g Family Practice Pllc 171 W Central Ave Coolidge AZ 85128-4405 Ph: (520) 723-7726 | P&g Family Practice Pllc 1653 E Mcmurray Blvd Ste 144a Casa Grande AZ 85122-5934 Ph: (480) 883-3011 |
NPI Number | 1477222669 |
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Provider Enumeration Date | 09/10/2021 |
Last Update Date | 10/09/2024 |
Medicare PECOS PAC ID | 8022403310 |
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Medicare Enrollment ID | O20220323002714 |
Identifier | Type | State | Issuer |
---|---|---|---|
1477222669 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Tarandeep Grewal |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1053671529 PECOS PAC ID: 3274834379 Enrollment ID: I20151215000671 |
Provider Name | Chetan S Patel |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053775635 PECOS PAC ID: 6709175870 Enrollment ID: I20160512000525 |
Provider Name | Leann Vanduyn |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235591546 PECOS PAC ID: 9537458237 Enrollment ID: I20160519001600 |
Pinnacle Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1968 N Peart Rd, Suite 1, Casa Grande, AZ 85122 Phone: 520-836-6636 Fax: 520-836-6846 | |
Horizon Health And Wellness, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 115 W 2nd St, Casa Grande, AZ 85122 Phone: 520-836-3633 | |
Pinal Hispanic Council Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1667 N Trekell Rd Ste 101, Casa Grande, AZ 85122 Phone: 520-284-5436 Fax: 520-836-5436 | |
Center For Family Medicine Mdpc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 E Cottonwood Ln Ste 2, Casa Grande, AZ 85122 Phone: 520-426-1400 Fax: 520-426-1268 | |
Horizon Health And Wellness, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 115 W 2nd St, Casa Grande, AZ 85122 Phone: 520-836-1688 | |
Millennium Physician Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1811 E Mcmurray Blvd, Casa Grande, AZ 85122 Phone: 520-374-2090 | |
Regional Care Physicians Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1780 E Florence Blvd Ste 102, Casa Grande, AZ 85222 Phone: 520-381-6300 |