Queen Creek Family Medicine - Medicare Primary Care in Queen Creek, AZ

Queen Creek Family Medicine is a medicare enrolled primary clinic (Family Medicine) in Queen Creek, Arizona. The current practice location for Queen Creek Family Medicine is 22707 S Ellsworth Rd, Ste H-103, Queen Creek, Arizona. For appointments, you can reach them via phone at (480) 677-3494. The mailing address for Queen Creek Family Medicine is 22707 S Ellsworth Rd, Ste H-103, Queen Creek, Arizona and phone number is (480) 677-3494.

Queen Creek Family Medicine is licensed to practice in Arizona (license number 32966). The clinic also participates in the medicare program and its NPI number is 1659559417. 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) 677-3494.

Contact Information

Queen Creek Family Medicine
22707 S Ellsworth Rd
Ste H-103
Queen Creek
AZ 85142-6131
(480) 677-3494
(480) 677-4319

Primary Care Clinic Profile

Full NameQueen Creek Family Medicine
SpecialityFamily Medicine
Location22707 S Ellsworth Rd, Queen Creek, Arizona
Authorized Official Name and PositionChatur J Babaria (OWNER)
Authorized Official Contact4806773494
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Queen Creek Family Medicine
22707 S Ellsworth Rd
Ste H-103
Queen Creek
AZ 85142-6131

Ph: (480) 677-3494
Queen Creek Family Medicine
22707 S Ellsworth Rd
Ste H-103
Queen Creek
AZ 85142-6131

Ph: (480) 677-3494

NPI Details:

NPI Number1659559417
Provider Enumeration Date02/04/2008
Last Update Date11/05/2009

Medicare PECOS Information:

Medicare PECOS PAC ID5890855258
Medicare Enrollment IDO20081117000028

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Medical Identifiers

Medical identifiers for Queen Creek Family Medicine such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1659559417NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 32966 (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. Queen Creek Family Medicine acts as a billing entity for following providers:
Provider NameChatur J Babaria
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1568514404
PECOS PAC ID: 5991807331
Enrollment ID: I20070302000454

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Provider NameLekha Manu Nair
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1881228567
PECOS PAC ID: 3274955513
Enrollment ID: I20200615003675

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