M.g.t Rn Llc - Medicare Primary Care in Mesa, AZ

M.g.t Rn Llc is a medicare enrolled primary clinic (Family Medicine) in Mesa, Arizona. The current practice location for M.g.t Rn Llc is 7117 E Peralta Cir, Mesa, Arizona. For appointments, you can reach them via phone at (480) 430-0721. The mailing address for M.g.t Rn Llc is 7316 E Southern Ave Unit 6091, Mesa, Arizona and phone number is (480) 430-0721.

M.g.t Rn Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1003448952. 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 (480) 430-0721.

Contact Information

M.g.t Rn Llc
7117 E Peralta Cir
Mesa
AZ 85212-9825
(480) 430-0721
Not Available

Primary Care Clinic Profile

Full NameM.g.t Rn Llc
SpecialityFamily Medicine
Location7117 E Peralta Cir, Mesa, Arizona
Authorized Official Name and PositionJameelah Wilson (OWNER)
Authorized Official Contact4804300721
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
M.g.t Rn Llc
7316 E Southern Ave Unit 6091
Mesa
AZ 85216-5005

Ph: (480) 430-0721
M.g.t Rn Llc
7117 E Peralta Cir
Mesa
AZ 85212-9825

Ph: (480) 430-0721

NPI Details:

NPI Number1003448952
Provider Enumeration Date02/09/2020
Last Update Date02/09/2020

Medicare PECOS Information:

Medicare PECOS PAC ID3173953924
Medicare Enrollment IDO20200420002059

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Medical Identifiers

Medical identifiers for M.g.t Rn Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003448952NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. M.g.t Rn Llc acts as a billing entity for following providers:
Provider NameJameelah Wilson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1578939682
PECOS PAC ID: 8820305063
Enrollment ID: I20150921000509

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