- Medicare Primary Care in Peoria, AZ

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is a medicare enrolled primary clinic (Clinic/center - Primary Care) in Peoria, Arizona. The current practice location for is 20340 N Lake Pleasant Rd Ste 109, Peoria, Arizona. For appointments, you can reach them via phone at (623) 299-9988. The mailing address for is 20340 N Lake Pleasant Rd, Suite 109, Peoria, Arizona and phone number is (623) 299-9988.

is licensed to practice in Arizona (license number 40752). The clinic also participates in the medicare program and its NPI number is 1902204191. 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 (623) 299-9988.

Contact Information

20340 N Lake Pleasant Rd Ste 109
Peoria
AZ 85382-9713
(623) 299-9988
Not Available

Map and Direction


Primary Care Clinic Profile

Full Name
SpecialityClinic/Center
Location20340 N Lake Pleasant Rd Ste 109, Peoria, Arizona
Authorized Official Name and PositionArvind Mahadevan (MEDICAL DIRECTOR)
Authorized Official Contact4802412034
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address

20340 N Lake Pleasant Rd
Suite 109
Peoria
AZ 85382-9714

Ph: (623) 299-9988
20340 N Lake Pleasant Rd Ste 109
Peoria
AZ 85382-9713

Ph: (623) 299-9988

NPI Details:

NPI Number1902204191
Provider Enumeration Date12/20/2014
Last Update Date10/27/2016

Medicare PECOS Information:

Medicare PECOS PAC ID7719260389
Medicare Enrollment IDO20211001001983

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1902204191NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QP2300XClinic/center - Primary Care 40752 (Arizona)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 NameArvind M Mahadevan
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1114199148
PECOS PAC ID: 6901965961
Enrollment ID: I20081105000310
Provider NamePatrice Noel Augustyniak
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124786702
PECOS PAC ID: 3476945296
Enrollment ID: I20220127002163
Provider NameTiana S King
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1821799974
PECOS PAC ID: 8921463761
Enrollment ID: I20230428002711
Provider NameSteven Michael Schwartz
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1861244667
PECOS PAC ID: 7416495239
Enrollment ID: I20240812002626

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.