| Traditions Health Palliative Care | |
|
5355 W Chandler Blvd Ste 3 Chandler AZ 85226-8603 | |
| (602) 283-7474 | |
| Not Available |
| Full Name | Traditions Health Palliative Care |
|---|---|
| Speciality | Clinic/Center |
| Location | 5355 W Chandler Blvd Ste 3, Chandler, Arizona |
| Authorized Official Name and Position | David Klementz (PRESIDENT & CEO) |
| Authorized Official Contact | 9797046547 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Traditions Health Palliative Care 150 4th Ave N Ste 2300 Nashville TN 37219-2466 Ph: (979) 704-6547 | Traditions Health Palliative Care 5355 W Chandler Blvd Ste 3 Chandler AZ 85226-8603 Ph: (602) 283-7474 |
| NPI Number | 1124743661 |
|---|---|
| Provider Enumeration Date | 10/06/2022 |
| Last Update Date | 09/18/2023 |
| Medicare PECOS PAC ID | 8325417660 |
|---|---|
| Medicare Enrollment ID | O20221208002526 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124743661 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Robert P Tully |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013932870 PECOS PAC ID: 0840219952 Enrollment ID: I20051117000927 |
| Provider Name | Lisa C Pierson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659337897 PECOS PAC ID: 0749371441 Enrollment ID: I20070809000707 |
| Provider Name | Judy Y Wu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1801122957 PECOS PAC ID: 4183806656 Enrollment ID: I20130826000012 |
| Provider Name | Megan Bermudez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104377506 PECOS PAC ID: 5395020648 Enrollment ID: I20170329000023 |
| Provider Name | Kristy Shirla Gintz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750886107 PECOS PAC ID: 5395096655 Enrollment ID: I20180925004029 |
| Provider Name | Lauren F Blitzer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902409824 PECOS PAC ID: 8820403033 Enrollment ID: I20210222002065 |
| Provider Name | Lacey J Barta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194446617 PECOS PAC ID: 5890164107 Enrollment ID: I20221208001644 |
| Provider Name | Amanda L Mulvihill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487368122 PECOS PAC ID: 6002271327 Enrollment ID: I20230420000720 |
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