| Williams Family Medicine Llc | |
|
515 West Buckeye Rd Suite 304 Phoenix AZ 85003 | |
| (602) 243-6000 | |
| (602) 323-5367 |
| Full Name | Williams Family Medicine Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 515 West Buckeye Rd, Phoenix, Arizona |
| Authorized Official Name and Position | Yesenia Bravo (MANAGER / ADMINISTRATOR) |
| Authorized Official Contact | 6022436000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Williams Family Medicine Llc 515 W Buckeye Rd Suite 304 Phoenix AZ 85003-2647 Ph: (602) 243-6000 | Williams Family Medicine Llc 515 West Buckeye Rd Suite 304 Phoenix AZ 85003 Ph: (602) 243-6000 |
| NPI Number | 1932203676 |
|---|---|
| Provider Enumeration Date | 09/12/2006 |
| Last Update Date | 04/17/2024 |
| Medicare PECOS PAC ID | 9830168509 |
|---|---|
| Medicare Enrollment ID | O20040929000518 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932203676 | NPI | - | NPPES |
| 205926 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Erendira Johana Degante |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992445365 PECOS PAC ID: 6608263074 Enrollment ID: I20220504000541 |
| Provider Name | Michelle N Larkin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134735772 PECOS PAC ID: 5496132268 Enrollment ID: I20220517000830 |
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