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Thomas Joshua Maxwell

Internal Medicine

Allopathic & Osteopathic Physicians

14678 N Del Webb Blvd, Sun City, AZ 85351-2137

PECOS Enrollment

This provider is enrolled in PECOS as THOMAS MAXWELL.

Based on the most recent information from CMS, provider Thomas Joshua Maxwell is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 5 days ago.

Profile Details

Provider ID
1396738324
Provider Type
Individual
Full Name
Maxwell, Thomas Joshua
Title
Dr.
Credential
M.D.

Gender
Male
Sole Proprietor
No
Enumeration Date
8/24/2005
Last Updated
9/9/2016

Contact Information

Practice Location

14678 N Del Webb Blvd, Sun City, AZ 85351-2137

(623) 933-8289

(623) 933-2596

Mailing Location

14678 N Del Webb Blvd, Sun City, AZ 85351-2137

(623) 933-8289

(623) 933-2596

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License 13594 Arizona

Provider Identifiers

ID	Description	Issuer
ID AZ0079640	Description Other	Issuer BLUE CROSS BLUE SHIELD Arizona
ID 110015936	Description Other	Issuer RAILROAD MEDICARE Arizona

Thomas Joshua Maxwell

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

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Anita Dai Md Integrative Care Llc

Hasan, Shahzad

Abubakr, Hala