Telecare Casa Grande Act - Medicare Mental Health Clinic in Casa Grande, AZ

Telecare Casa Grande Act is a medicare enrolled mental health clinic (Clinic/center - Mental Health (including Community Mental Health Center)) in Casa Grande, Arizona. The current practice location for Telecare Casa Grande Act is 1821 N Trekell Rd, Suite 7, Casa Grande, Arizona. For appointments, you can reach them via phone at (520) 876-9293. The mailing address for Telecare Casa Grande Act is 1080 Marina Village Parkway, Suite 100, Alameda, California and phone number is (510) 337-7950.

Telecare Casa Grande Act is licensed to practice in Arizona (license number OTC6998). The clinic also participates in the medicare program and its NPI number is 1356746762. 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 (520) 876-9293.

Contact Information

Telecare Casa Grande Act
1821 N Trekell Rd
Suite 7
Casa Grande
AZ 85122-1705
(520) 876-9293
(520) 876-9334

Mental Health Clinic Profile

Full NameTelecare Casa Grande Act
SpecialityClinic/Center
Location1821 N Trekell Rd, Casa Grande, Arizona
Authorized Official Name and PositionLorena Lopez (PROVIDER RELATIONS SUPERVISOR)
Authorized Official Contact5103377950
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Telecare Casa Grande Act
1080 Marina Village Parkway
Suite 100
Alameda
CA 94501-1078

Ph: (510) 337-7950
Telecare Casa Grande Act
1821 N Trekell Rd
Suite 7
Casa Grande
AZ 85122-1705

Ph: (520) 876-9293

NPI Details:

NPI Number1356746762
Provider Enumeration Date10/28/2014
Last Update Date03/23/2023
Certification Date03/23/2023

Medicare PECOS Information:

Medicare PECOS PAC ID6204155674
Medicare Enrollment IDO20150506001505

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Medical Identifiers

Medical identifiers for Telecare Casa Grande Act such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1356746762NPI-NPPES
987008MedicaidAZ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QM0801XClinic/center - Mental Health (including Community Mental Health Center) OTC6998 (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. Telecare Casa Grande Act acts as a billing entity for following providers:
Provider NameMaryam H Lateef
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1477533610
PECOS PAC ID: 3577475888
Enrollment ID: I20141023000369

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Provider NameJosefina Phillips
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1467800144
PECOS PAC ID: 2264725860
Enrollment ID: I20160719002604

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Provider NameDevin L Wengert
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1346709557
PECOS PAC ID: 4284064197
Enrollment ID: I20200416002507

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Clinic/Center in Casa Grande, AZ

Casa Grande Inpatient
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 675 E Cottonwood Ln Ste 140, Casa Grande, AZ 85122
Phone: 520-426-0088    Fax: 480-775-2420
Intermountain Health Center, Inc.
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1821 N. Trekell Road, Suite 1, Casa Grande, AZ 85122
Phone: 520-426-4289    Fax: 520-421-0792
Higher Heights Human Services Llc
Mental Health Clinic
Medicare: Medicare Enrolled
Practice Location: 615 W Cottonwood Ln Ste 5-6, Casa Grande, AZ 85122
Phone: 702-772-5488    
Horizon Human Services, Inc.
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 865 N. Arizola Rd, Casa Grande, AZ 85222
Phone: 520-421-2543    Fax: 520-421-1032
Blue Bell Management Llc
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 108 W 1st St, Casa Grande, AZ 85122
Phone: 520-463-3911    
Sun Life Family Health Center
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 865 N Arizola Rd, Casa Grande, AZ 85122
Phone: 520-836-3446    Fax: 520-836-8807
Building Overcomers Wellness Services
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1821 N Trekell Rd, Casa Grande, AZ 85122
Phone: 623-522-2693    

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