| Parker Family Practice Pllc | |
|
1713 S Kofa Ave Suite A Parker AZ 85344-6477 | |
| (928) 669-9700 | |
| (928) 669-7104 |
| Full Name | Parker Family Practice Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 1713 S Kofa Ave, Parker, Arizona |
| Authorized Official Name and Position | Ronald D Parker (PROVIDER/OWNER) |
| Authorized Official Contact | 9286699700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Parker Family Practice Pllc 1713 S Kofa Ave Suite A Parker AZ 85344-6477 Ph: (928) 669-9700 | Parker Family Practice Pllc 1713 S Kofa Ave Suite A Parker AZ 85344-6477 Ph: (928) 669-9700 |
| NPI Number | 1487880712 |
|---|---|
| Provider Enumeration Date | 06/01/2009 |
| Last Update Date | 06/01/2009 |
| Medicare PECOS PAC ID | 6709937998 |
|---|---|
| Medicare Enrollment ID | O20090629000520 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487880712 | NPI | - | NPPES |
| 227740 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 36577 (Arizona) | Primary |
| Provider Name | Ronald D Parker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285798405 PECOS PAC ID: 9133155005 Enrollment ID: I20070807000348 |
| Provider Name | Mary Ann Widman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245428929 PECOS PAC ID: 1557450624 Enrollment ID: I20071128000223 |
| Provider Name | Jennifer King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780294793 PECOS PAC ID: 2668890112 Enrollment ID: I20200915001939 |
Kevin S. Klopfenstein M.d. P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 S California Ave, Parker, AZ 85344 Phone: 928-669-6151 Fax: 928-669-8403 | |
Melinda Astran, Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 601 W Riverside Dr, Ste. 3 & 4, Parker, AZ 85344 Phone: 928-669-6700 Fax: 928-669-6709 | |
Dba La Paz Helathcare Parker Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 601 W Riverside Dr Ste 3, Parker, AZ 85344 Phone: 928-669-5550 Fax: 928-669-0061 | |
Parker Walk In Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 601 W Riverside Dr Ste 6, Parker, AZ 85344 Phone: 928-256-4110 Fax: 928-256-4112 | |
La Paz County Health Department Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1112 S Joshua Ave, Suite 206, Parker, AZ 85344 Phone: 928-669-1100 | |
Parker Walk In Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 601 W Riverside Dr Ste 2, Parker, AZ 85344 Phone: 928-256-4110 Fax: 928-256-4112 |