Wings Of Hope Medical Services, Llc - Medicare Primary Care in Phoenix, AZ

Wings Of Hope Medical Services, Llc is a medicare enrolled primary clinic (Internal Medicine - Hospice And Palliative Medicine) in Phoenix, Arizona. The current practice location for Wings Of Hope Medical Services, Llc is 11022 N 28th Dr Ste 205, Phoenix, Arizona. For appointments, you can reach them via phone at (602) 971-0304. The mailing address for Wings Of Hope Medical Services, Llc is 11022 N 28th Dr Ste 205, Phoenix, Arizona and phone number is (602) 971-0304.

Wings Of Hope Medical Services, Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1003282278. 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 (602) 971-0304.

Contact Information

Wings Of Hope Medical Services, Llc
11022 N 28th Dr Ste 205
Phoenix
AZ 85029-5635
(602) 971-0304
(602) 971-0305

Primary Care Clinic Profile

Full NameWings Of Hope Medical Services, Llc
SpecialityInternal Medicine
Location11022 N 28th Dr Ste 205, Phoenix, Arizona
Authorized Official Name and PositionAngela Katz (CEO/ADMINISTRATOR)
Authorized Official Contact6029710304
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Wings Of Hope Medical Services, Llc
11022 N 28th Dr Ste 205
Phoenix
AZ 85029-5635

Ph: (602) 971-0304
Wings Of Hope Medical Services, Llc
11022 N 28th Dr Ste 205
Phoenix
AZ 85029-5635

Ph: (602) 971-0304

NPI Details:

NPI Number1003282278
Provider Enumeration Date08/11/2015
Last Update Date04/24/2019

Medicare PECOS Information:

Medicare PECOS PAC ID7719277169
Medicare Enrollment IDO20160526001261

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Medical Identifiers

Medical identifiers for Wings Of Hope Medical Services, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003282278NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine (* (Not Available))Secondary
207RH0002XInternal Medicine - Hospice And Palliative Medicine (* (Not Available))Primary
363L00000XNurse Practitioner (* (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. Wings Of Hope Medical Services, Llc acts as a billing entity for following providers:
Provider NameIlya Katz
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1104026319
PECOS PAC ID: 1951469220
Enrollment ID: I20090813000745

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Provider NameKeqiang Shen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154713048
PECOS PAC ID: 4082933742
Enrollment ID: I20150430000252

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Provider NameMalar Kuppan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1295216190
PECOS PAC ID: 1456695998
Enrollment ID: I20181210002790

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Provider NameKarie M Pietrykowski
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1356828826
PECOS PAC ID: 5193064970
Enrollment ID: I20210322002128

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Provider NameAlexandra Caienar
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1922763754
PECOS PAC ID: 0042602153
Enrollment ID: I20220124001082

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Provider NameLiliana Santellano
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1588381214
PECOS PAC ID: 2163894411
Enrollment ID: I20230214001946

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Provider NameAdam K Zamora
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548032006
PECOS PAC ID: 5597113191
Enrollment ID: I20231120003214

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Internal Medicine in Phoenix, AZ

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