Primary Care Practice of Arizona PLLC

A Medicare group practice based in Gilbert, AZ: 5 NPIs enrolled under one PECOS associate control ID (PAC ID 4183963515), with 35 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
4183963515The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice
Enrolled in
AZ
Enrollments
1
Group size
27 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
5In 3 places

Enrollment records 1

Enrollment IDStateProvider typeNPI
O20190304000129 AZ Part B Supplier - Clinic/Group Practice 1265904247

NPIs in this group 5

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 35

Clinicians who reassign their Medicare benefits to this group (35) or whom Care Compare lists as members (27).

Sources for this page