LETS BE PALS LLC (NPI# 1043544802) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043544802 |
| Entity Type | Organization |
| Organization Name | LETS BE PALS LLC |
| Practice Address |
1101 S Sycamore 323 Mesa AZ 85202-4005 |
| Mailing Address |
1849 E Guadalupe Rd Ste C101 166 Tempe AZ 85283-3281 |
| Practice Telephone | 4804973245 |
| Mailing Telephone | 4804973245 |
| Enumeration Date | 2009-09-28 |
| Last Update Date | 2009-09-28 |
| Authorized Official Name | RANDOLPH MARSHALL HOWARD (PRESIDENT) |
| Authorized Official Telephone | 4804973245 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 302F00000X | Exclusive Provider Organization | L15454205 | AZ | Managed Care Organizations |
| Street Address |
1101 S SYCAMORE 323 |
| City | MESA |
| State | AZ |
| Zip Code | 85202-4005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275173536 | Samuel A Wolde | Counselor | Clear View Counseling, 2651 W Guadalupe Rd, Mesa, AZ 85202 | 2020-01-14 |
| 1912549171 | Lauren Barbara Loges | Occupational Therapist | 2225 E. Southern Avenue, Mesa, AZ 85202 | 2019-10-09 |
| 1245724822 | Medsource Orthotics & Prosthetics, Inc | Prosthetic/Orthotic Supplier | 1450 S Dobson Rd Ste B326, Mesa, AZ 85202 | 2018-06-18 |
| 1457843310 | Jay Douglas Baumgardner | Physical Therapist | 1941 W. Guadalupe Rd. Suite 109, Mesa, AZ 85202 | 2018-06-05 |
| 1144746215 | Alyson Fix | Physician Assistant | 1432 S Dobson Rd Ste 304, Mesa, AZ 85202 | 2017-08-20 |
| 1194108852 | Robert Dale Labrum | Counselor | 1255 W Baseline Rd Ste B-258, Mesa, AZ 85202 | 2015-06-30 |
| 1114325677 | John David Shull Jr. | Physician Assistant | 1520 S Dobson Rd Ste 305, Mesa, AZ 85202 | 2014-12-16 |
| 1316356207 | Embry Womens Health LLC | Nurse Practitioner | 2204 S Dobson Road, Suite 203, Mesa, AZ 85202 | 2014-08-05 |
| 1619312899 | Fiza Naueed Khan | Internal Medicine | 1400 South Dobson Road, Attn: Bmg Hospitalists Team/amanda Gump, Mesa, AZ 85202 | 2013-05-01 |
| 1487903373 | Jodi Lynn Mealer | Pharmacist | 1951 W. Baseline Rd., Mesa, AZ 85202 | 2012-09-06 |
| Find all providers in zip 85202 | ||||
| Taxonomy Code | 302F00000X |
| Grouping | Managed Care Organizations |
| Classification | Exclusive Provider Organization |
| (1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations. |
| Notes: Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 15; (2) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 58; (3) Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023441987 | New Life Care Center Int | Exclusive Provider Organization | 650 S Country Club Dr Apt 125, Mesa, AZ 85210-2341 | 2013-08-14 |
| 1730419680 | American Health Group | Exclusive Provider Organization | 2152 S Vineyard Ste 103, Mesa, AZ 85210-6881 | 2009-12-28 |
| 1952488710 | Drs of Smiles PC | Exclusive Provider Organization | 1056 S Val Vista Dr, Ste 1, Mesa, AZ 85204-5625 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497299101 | Lifestyles | Exclusive Provider Organization | 4385 E Wild Elk Trl, Flagstaff, AZ 86004-7921 | 2016-12-14 |
| 1356794150 | David Ryan Schaner | Exclusive Provider Organization | 12533 W Coldwater Springs Blvd, Avondale, AZ 85323-8320 | 2016-07-15 |
| 1528415650 | Nazcare, Inc. | Exclusive Provider Organization | 8200 E. Jacque Dr., Prescott Valley, AZ 86314 | 2016-05-18 |
| 1508228701 | Sfc Shane | Exclusive Provider Organization | 460 E Osage Ave, 1, Apache Junction, AZ 85119-3748 | 2016-03-25 |
| 1568845592 | Desert Journey, LLC | Exclusive Provider Organization | 904 E Prescott Pl, Chandler, AZ 85249-5131 | 2015-07-08 |
| 1386049419 | Linda L Austin, Md PC | Exclusive Provider Organization | 1301 E Mcdowell Rd Ste 103, Phoenix, AZ 85006-2605 | 2014-10-31 |
| 1720480940 | Above and Beyond Care Providers | Exclusive Provider Organization | 2136 E. Bowker St, Phoenix, AZ 85040 | 2014-09-18 |
| 1578979118 | White Mountain Surgical Specialist | Exclusive Provider Organization | 2650 E Show Low Lake Rd Ste 2, Show Low, AZ 85901-7955 | 2014-07-03 |
| 1902246291 | Steven R Holt Od Pllc | Exclusive Provider Organization | 15341 W Waddell Rd Ste 106, Surprise, AZ 85379-5169 | 2013-07-01 |
| 1598009722 | Jeffery B Bushman Do PC | Exclusive Provider Organization | 905 N Bowie Ave, Willcox, AZ 85643-1145 | 2012-11-10 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.