| White Tank Medical Pllc | |
|
18761 N Reems Rd Ste 400 Surprise AZ 85374-8646 | |
| (623) 583-9180 | |
| Not Available |
| Full Name | White Tank Medical Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 18761 N Reems Rd Ste 400, Surprise, Arizona |
| Authorized Official Name and Position | Justin James Woodside (OWNER) |
| Authorized Official Contact | 6235839180 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| White Tank Medical Pllc 18761 N Reems Rd Ste 400 Surprise AZ 85374-8646 Ph: () - | White Tank Medical Pllc 18761 N Reems Rd Ste 400 Surprise AZ 85374-8646 Ph: (623) 583-9180 |
| NPI Number | 1306549837 |
|---|---|
| Provider Enumeration Date | 03/23/2023 |
| Last Update Date | 03/23/2023 |
| Medicare PECOS PAC ID | 1759746704 |
|---|---|
| Medicare Enrollment ID | O20230427000829 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306549837 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Frank B Hatch |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1235297144 PECOS PAC ID: 6901845312 Enrollment ID: I20050426001077 |
| Provider Name | Jacob Healey |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1578844874 PECOS PAC ID: 3779758073 Enrollment ID: I20111215000337 |
| Provider Name | Robert R Wolfe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023660065 PECOS PAC ID: 9436481348 Enrollment ID: I20191025002124 |
Oxford Integrated Health Solutions, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 14674 W Mountain View Blvd Ste 100, Surprise, AZ 85374 Phone: 602-510-7142 | |
Adelante Care Today - Surprise Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 15317 W Bell Rd Ste 100, Surprise, AZ 85374 Phone: 480-964-2273 Fax: 623-544-5119 | |
Cigna Medical Group - Sun City West, Sun City West Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 13991 W Grand Ave, Suite 105, Surprise, AZ 85374 Phone: 623-455-7800 Fax: 623-455-7810 | |
Good Health Medical, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 16324 W Pat Tillman Blvd #101, Surprise, AZ 85387 Phone: 480-677-8282 Fax: 888-316-1686 | |
Surprise Family Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14800 W Mountain View Blvd, Suite 190, Surprise, AZ 85374 Phone: 623-889-7199 Fax: 623-889-7198 | |
Nha T Lien Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14674 W Mountain View Blvd, Ste 200, Surprise, AZ 85374 Phone: 909-239-4700 | |
Carefirst Wellness Associates Of Az Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12361 W Bola Dr Ste 109, Surprise, AZ 85378 Phone: 623-227-1000 |