Primary Care Medical Group, Llc | |
36600 N. Pima Road Ste 307 Carefree AZ 85377 | |
(480) 280-5085 | |
Not Available |
Full Name | Primary Care Medical Group, Llc |
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Speciality | General Practice |
Location | 36600 N. Pima Road, Carefree, Arizona |
Authorized Official Name and Position | Kenneth Kearns (OWNER) |
Authorized Official Contact | 4802805085 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Primary Care Medical Group, Llc 11801 N Tatum Blvd Ste 145 Phoenix AZ 85028-1613 Ph: () - | Primary Care Medical Group, Llc 36600 N. Pima Road Ste 307 Carefree AZ 85377 Ph: (480) 280-5085 |
NPI Number | 1982114385 |
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Provider Enumeration Date | 10/11/2017 |
Last Update Date | 10/11/2017 |
Medicare PECOS PAC ID | 1951664127 |
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Medicare Enrollment ID | O20180423000535 |
Identifier | Type | State | Issuer |
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1982114385 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | 33789 (Arizona) | Primary |
Provider Name | Greg Buot Alaestante |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1710247887 PECOS PAC ID: 1254657133 Enrollment ID: I20150630002488 |
Provider Name | Kenneth Kearns |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1598148223 PECOS PAC ID: 8628381324 Enrollment ID: I20150724010252 |
Provider Name | Jamila Ajelka Butcher |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1639583388 PECOS PAC ID: 4385914431 Enrollment ID: I20170721001658 |
Provider Name | Socorro Gabriela Montes |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1568705952 PECOS PAC ID: 0941501597 Enrollment ID: I20200106003090 |
Desert Foothills Medical Center Lab And Urgent Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 36889 N Tom Darlington Dr, Suite A4, Carefree, AZ 85377 Phone: 480-488-9220 | |
Carefree Internal Medicine, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 36800 N Sidewinder Road, A 4, Carefree, AZ 85377 Phone: 480-595-0431 Fax: 480-595-2322 |