Davis Whole Family Health Pllc - Medicare Primary Care in Flagstaff, AZ

Davis Whole Family Health Pllc is a medicare enrolled primary clinic (Family Medicine) in Flagstaff, Arizona. The current practice location for Davis Whole Family Health Pllc is 150 N Verde St Ste 101, Flagstaff, Arizona. For appointments, you can reach them via phone at (619) 218-9490. The mailing address for Davis Whole Family Health Pllc is 150 N Verde St Ste 101, Flagstaff, Arizona and phone number is (619) 218-9490.

Davis Whole Family Health Pllc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1275232654. 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 (619) 218-9490.

Contact Information

Davis Whole Family Health Pllc
150 N Verde St Ste 101
Flagstaff
AZ 86001-5257
(619) 218-9490
Not Available

Primary Care Clinic Profile

Full NameDavis Whole Family Health Pllc
SpecialityFamily Medicine
Location150 N Verde St Ste 101, Flagstaff, Arizona
Authorized Official Name and PositionBethany Davis (CMO)
Authorized Official Contact6192189490
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Davis Whole Family Health Pllc
150 N Verde St Ste 101
Flagstaff
AZ 86001-5257

Ph: (619) 218-9490
Davis Whole Family Health Pllc
150 N Verde St Ste 101
Flagstaff
AZ 86001-5257

Ph: (619) 218-9490

NPI Details:

NPI Number1275232654
Provider Enumeration Date02/24/2023
Last Update Date04/22/2024

Medicare PECOS Information:

Medicare PECOS PAC ID5395192637
Medicare Enrollment IDO20231108003001

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Medical Identifiers

Medical identifiers for Davis Whole Family Health Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1275232654NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Primary
363LF0000XNurse Practitioner - Family (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Davis Whole Family Health Pllc acts as a billing entity for following providers:
Provider NameBethany A Davis
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1982048856
PECOS PAC ID: 2668615998
Enrollment ID: I20160728000941

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Provider NameKrissie Maxwell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1750856621
PECOS PAC ID: 5193060622
Enrollment ID: I20190102001964

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Provider NameJessica Holst
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1134864754
PECOS PAC ID: 9931578481
Enrollment ID: I20221206001318

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