| Prestige Medical Care | |
|
301 E Bethany Home Rd Ste 172 Phoenix AZ 85012-1263 | |
| (602) 477-9422 | |
| (602) 675-0924 |
| Full Name | Prestige Medical Care |
|---|---|
| Speciality | Clinic/Center |
| Location | 301 E Bethany Home Rd Ste 172, Phoenix, Arizona |
| Authorized Official Name and Position | Devin Bland (OWNER) |
| Authorized Official Contact | 6024779422 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Prestige Medical Care 301 E Bethany Home Rd Ste 172 Phoenix AZ 85012-1263 Ph: (602) 477-9422 | Prestige Medical Care 301 E Bethany Home Rd Ste 172 Phoenix AZ 85012-1263 Ph: (602) 477-9422 |
| NPI Number | 1588290944 |
|---|---|
| Provider Enumeration Date | 03/18/2020 |
| Last Update Date | 11/29/2022 |
| Medicare PECOS PAC ID | 2365860863 |
|---|---|
| Medicare Enrollment ID | O20200915003572 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588290944 | NPI | - | NPPES |
| Provider Name | Devin S Bland |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1215378450 PECOS PAC ID: 7214221365 Enrollment ID: I20200921002513 |
| Provider Name | Carla Jean Aldaz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528436813 PECOS PAC ID: 5092133595 Enrollment ID: I20230323000794 |
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