Stonecreek Medical Associates Pc | |
10565 N Tatum Blvd Ste B116 Paradise Valley AZ 85253-1095 | |
(480) 659-0448 | |
(480) 659-1498 |
Full Name | Stonecreek Medical Associates Pc |
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Speciality | Internal Medicine |
Location | 10565 N Tatum Blvd Ste B116, Paradise Valley, Arizona |
Authorized Official Name and Position | Gerald S Asin (PHYSICIAN) |
Authorized Official Contact | 4806590448 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Stonecreek Medical Associates Pc 10565 N Tatum Blvd Ste B116 Paradise Valley AZ 85253-1095 Ph: (480) 659-0448 | Stonecreek Medical Associates Pc 10565 N Tatum Blvd Ste B116 Paradise Valley AZ 85253-1095 Ph: (480) 659-0448 |
NPI Number | 1659493351 |
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Provider Enumeration Date | 04/04/2007 |
Last Update Date | 07/21/2022 |
Medicare PECOS PAC ID | 9739163700 |
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Medicare Enrollment ID | O20040616001117 |
Identifier | Type | State | Issuer |
---|---|---|---|
1659493351 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (Arizona) | Secondary |
207R00000X | Internal Medicine | (Arizona) | Primary |
Provider Name | Gerald S Asin |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1770576365 PECOS PAC ID: 9032306766 Enrollment ID: I20101207001301 |
Provider Name | Sarah Elizabeth Jones |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104467182 PECOS PAC ID: 9133553852 Enrollment ID: I20200103002372 |
Provider Name | Jennifer Marie Hannon |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871257261 PECOS PAC ID: 9335530476 Enrollment ID: I20211227000814 |
Provider Name | Molly Margaret Drought |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730960485 PECOS PAC ID: 6901252444 Enrollment ID: I20231102002942 |
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