| Tesai,plc | |
|
9139 W Thunderbird Rd Ste 265 Peoria AZ 85381-4922 | |
| (602) 777-7011 | |
| (602) 777-4497 |
| Full Name | Tesai,plc |
|---|---|
| Speciality | Internal Medicine |
| Location | 9139 W Thunderbird Rd Ste 265, Peoria, Arizona |
| Authorized Official Name and Position | Pedro Rodriguez (OWNER) |
| Authorized Official Contact | 6027777011 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tesai,plc 9139 W Thunderbird Rd Ste 265 Peoria AZ 85381-4922 Ph: (602) 777-7011 | Tesai,plc 9139 W Thunderbird Rd Ste 265 Peoria AZ 85381-4922 Ph: (602) 777-7011 |
| NPI Number | 1174180780 |
|---|---|
| Provider Enumeration Date | 05/20/2019 |
| Last Update Date | 06/20/2022 |
| Medicare PECOS PAC ID | 6901133370 |
|---|---|
| Medicare Enrollment ID | O20190807002497 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174180780 | NPI | - | NPPES |
| 599048 | Medicaid | AZ |
| Provider Name | Julio A Marcolini |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1487647038 PECOS PAC ID: 4385648815 Enrollment ID: I20060914000106 |
| Provider Name | Pedro R Rodriguez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184617961 PECOS PAC ID: 2769540442 Enrollment ID: I20081024000084 |
| Provider Name | Breezy Michelle Mendoza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679016885 PECOS PAC ID: 0143501650 Enrollment ID: I20161221000666 |
| Provider Name | Lorena L De Alejandro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043720923 PECOS PAC ID: 5395004386 Enrollment ID: I20180119002225 |
| Provider Name | Dara L Chang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114482486 PECOS PAC ID: 8820323801 Enrollment ID: I20191211003357 |
| Provider Name | Hiu Ling Wong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215666300 PECOS PAC ID: 1052792124 Enrollment ID: I20220720002887 |
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