Allen Richard Gardner, MD | |
3120 Clearwater Dr, Prescott, AZ 86305-7131 | |
(928) 771-3704 | |
(928) 771-0434 |
Full Name | Allen Richard Gardner |
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Gender | Male |
Speciality | Internal Medicine |
Location | 3120 Clearwater Dr, Prescott, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326072000 | NPI | - | NPPES |
785701 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 31108 (Arizona) | Primary |
Entity Name | Yavapai Regional Medical Center Physician Care, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255582003 PECOS PAC ID: 5294898987 Enrollment ID: O20090106000798 |
Mailing Address | Practice Location Address |
---|---|
Allen Richard Gardner, MD Po Box 10880, Prescott, AZ 86304-0880 Ph: (928) 759-5987 | Allen Richard Gardner, MD 3120 Clearwater Dr, Prescott, AZ 86305-7131 Ph: (928) 771-3704 |
Dr. Jyotsana M Patel, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 500 N Hwy 89, Northern Arizona Va Hcs, Prescott, AZ 86313 Phone: 928-445-4860 | |
Dr. Warren Reyes Ho, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3122 Willow Creek Rd, Prescott, AZ 86301 Phone: 928-445-7632 Fax: 928-445-9283 | |
Karen L Yates, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3101 Clearwater Dr, Suite C, Prescott, AZ 86305 Phone: 928-771-0555 Fax: 928-771-0444 | |
Dr. Milton Murray Schild, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 811 Ainsworth Dr, Suite 103, Prescott, AZ 86301 Phone: 928-771-5548 Fax: 928-771-5549 | |
Dr. Ayyasamy P Selvam, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 500 N Us Highway 89, Va Medical Center, Prescott, AZ 86313 Phone: 928-776-6009 Fax: 928-776-6098 | |
Dr. Jerome C Robinson, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 802 Ainsworth Dr Ste A, Prescott, AZ 86301 Phone: 928-445-6025 Fax: 928-778-3026 | |
Dr. George Sein, M.D Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 919 12th Pl Ste 6, Prescott, AZ 86305 Phone: 928-445-4166 |