| Pioneer Physicians, Plc | |
|
2400 S Avenue A Yuma AZ 85364-7127 | |
| (928) 317-9100 | |
| (928) 317-9300 |
| Full Name | Pioneer Physicians, Plc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2400 S Avenue A, Yuma, Arizona |
| Authorized Official Name and Position | Jayareena Mahalingam (OWNER) |
| Authorized Official Contact | 9283179100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pioneer Physicians, Plc Po Box 429 Yuma AZ 85366-2318 Ph: (928) 317-9100 | Pioneer Physicians, Plc 2400 S Avenue A Yuma AZ 85364-7127 Ph: (928) 317-9100 |
| NPI Number | 1861799108 |
|---|---|
| Provider Enumeration Date | 02/23/2011 |
| Last Update Date | 10/19/2011 |
| Medicare PECOS PAC ID | 3678755527 |
|---|---|
| Medicare Enrollment ID | O20110314000645 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861799108 | NPI | - | NPPES |
| 491071 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 37589 (Arizona) | Primary |
| Provider Name | Jayareena Mahalingam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962460097 PECOS PAC ID: 8224058128 Enrollment ID: I20100624000966 |
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