Alie Riad Jreisat, MD is a
Student In An Organized Health Care Education/training Program physician based in Kingman, Arizona. Alie Riad Jreisat is licensed to practice in * (Not Available) (license number ) and his current practice location is 2202 N Stockton Hill Rd Ste 101, Kingman, Arizona. He can be reached at his office (for appointments etc.) via phone at
(928) 757-2101.
NPI number for Alie Riad Jreisat is 1578130555 and his current mailing address is 734 Country Club Dr, Kingman, Arizona. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1578130555.
Physician's Profile
Full Name | Alie Riad Jreisat |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 2202 N Stockton Hill Rd Ste 101, Kingman, Arizona |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1578130555
- Provider Enumeration Date: 06/08/2021
- Last Update Date: 06/22/2021
Medical Identifiers
Medical identifiers for Alie Riad Jreisat such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1578130555 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | R78878 (Arizona) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Alie Riad Jreisat is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Alie Riad Jreisat, MD 734 Country Club Dr, Kingman, AZ 86401-3971 Ph: (708) 466-2700 | Alie Riad Jreisat, MD 2202 N Stockton Hill Rd Ste 101, Kingman, AZ 86401-4622 Ph: (928) 757-2101 |
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