Banner Network Southern Arizona
2901 N Central Ave Suite 160
Phoenix, AZ 85012
Kynda Wolfrum, Director, Health Management Services
Phone: 970-810-8706
Email: [email protected]
ACO Participants |
ACO Participant in Joint Venture (Y or N) |
Banner - University Medical Group | N |
Bio Family Clinic Inc |
N |
Gonzales Medical Clinic PC | N |
San Luis Walk-in Clinic |
N |
Up2Par PLLC | N |
Wilbur Don Duque MD PC | N |
Wissam Fayad MD PC | N |
Last Name | First Name | Title/ Position | Member's Voting Power- Expressed as a percentage or number | Membership Type | ACO Participant Legal Business Name/DBA if applicable |
Bruzzi | Bethany | Physician | 1 | ACO Participant Representative | Banner - University Medical Group |
Evani | Bob | Physician | 1 | ACO Participant Representative | Banner - University Medical Group |
Kuntz | Clint | Other | 1 | Other | El Rio Santa Cruz Neighborhood Health Center, Inc |
Lynn | Steve | Beneficiary | 1 | Medicare Beneficiary | Beneficiary |
Mathias | Ann | Physician | 1 | ACO Participant Representative | Banner - University Medical Group |
Riall | Taylor | Physician | 1 | ACO Participant Representative | Banner - University Medical Group |
Rundell | Kristen | Physician | 1 | ACO Participant Representative | Banner - University Medical Group |
Smythe | Robert | Physician | 1 | ACO Participant Representative | Up2Par |
ACO Executive: Brett Bingham, CNDO
Medical Director: Patricia Iris, MD
Compliance Officer: Sean Reneau
Quality Assurance/Improvement Officer: Sandra Robles
Compliance Committee: Sean Reneau, Compliance Officer
Medical Executive Committee: Dr. Patricia Iris, Southern Arizona Regional Medical Director
Networks of individual practices of ACO professionals