| Prescott Complete Care | |
|
1947 Commerce Center Circle Suite A Prescott AZ 86301 | |
| (928) 458-5723 | |
| (928) 237-1787 |
| Full Name | Prescott Complete Care |
|---|---|
| Speciality | Family Medicine |
| Location | 1947 Commerce Center Circle, Prescott, Arizona |
| Authorized Official Name and Position | Joseph Viccica (OFFICE MANAGER) |
| Authorized Official Contact | 5702990037 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Prescott Complete Care 1947 Commerce Center Circle Suite A Prescott AZ 86301 Ph: (928) 458-5723 | Prescott Complete Care 1947 Commerce Center Circle Suite A Prescott AZ 86301 Ph: (928) 458-5723 |
| NPI Number | 1538714092 |
|---|---|
| Provider Enumeration Date | 08/01/2019 |
| Last Update Date | 09/26/2024 |
| Medicare PECOS PAC ID | 3476982224 |
|---|---|
| Medicare Enrollment ID | O20200331001257 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538714092 | NPI | - | NPPES |
| Provider Name | James W Mccarver |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982640645 PECOS PAC ID: 4880863919 Enrollment ID: I20110808000229 |
| Provider Name | Julie D Waite |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245268788 PECOS PAC ID: 5395899769 Enrollment ID: I20230620002172 |
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