<unavail> in Prescott, AZ - Medicare Clinic/Center

is a medicare enrolled primary clinic (Clinic/center - Primary Care) in Prescott, Arizona. The current practice location for is 3101 Clearwater Dr Ste B, Prescott, Arizona. For appointments, you can reach them via phone at (928) 277-4622. The mailing address for is 3101 Clearwater Dr Ste B, Prescott, Arizona and phone number is (928) 277-4622.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1174243505. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (928) 277-4622.

Contact Information


	3101 Clearwater Dr Ste B Prescott AZ 86305-7180
	(928) 277-4622
	(928) 515-1219

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	3101 Clearwater Dr Ste B, Prescott, Arizona
Authorized Official Name and Position	Shurine Ann Pate (OWNER/NURSE PRACTITIONER)
Authorized Official Contact	9282774622
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
3101 Clearwater Dr Ste B Prescott AZ 86305-7180 Ph: (928) 277-4622	3101 Clearwater Dr Ste B Prescott AZ 86305-7180 Ph: (928) 277-4622

NPI Details:

NPI Number	1174243505
Provider Enumeration Date	08/29/2022
Last Update Date	04/17/2024

Medicare PECOS Information:

Medicare PECOS PAC ID	2365818291
Medicare Enrollment ID	O20221018003186

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174243505	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QP2300X	Clinic/center - Primary Care	(* (Not Available))	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:

Provider Name	Shurine Ann Pate
Provider Type	Practitioner - Nurse Practitioner
Provider Identifiers	NPI Number: 1235861832 PECOS PAC ID: 3274909106 Enrollment ID: I20221018003261

Reviews and Comments

Clinic/Center in Prescott, AZ

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Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3633 Crossings Dr, Prescott, AZ 86305 Phone: 928-778-0330 Fax: 928-778-1146
Fred S Markham Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 804 Ainsworth Dr, Suite 104, Prescott, AZ 86301 Phone: 928-778-1736 Fax: 928-717-0785
Yavapai Regional Medical Center Physician Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 726 Gail Gardner Way, Suite B, Prescott, AZ 86305 Phone: 928-445-0304
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1050 Gail Gardner Way, Suite 300, Prescott, AZ 86305 Phone: 928-771-3704 Fax: 928-771-0434

- Medicare Primary Care in Prescott, AZ