Amanda Leib, MD | |
167 North Main Street, Tuba City, AZ 86045-0600 | |
(928) 283-2501 | |
(928) 283-2677 |
Full Name | Amanda Leib |
---|---|
Gender | Female |
Speciality | Obstetrics & Gynecology |
Location | 167 North Main Street, Tuba City, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174550230 | NPI | - | NPPES |
418477 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | D48243 (Maryland) | Primary |
Entity Name | Tuba City Regional Health Care Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548294424 PECOS PAC ID: 4284542531 Enrollment ID: O20031105000107 |
Entity Name | Tuba City Regional Health Care Corporation |
---|---|
Entity Type | Part B Supplier - Ambulatory Surgical Center |
Entity Identifiers | NPI Number: 1548294424 PECOS PAC ID: 4284542531 Enrollment ID: O20071227000405 |
Mailing Address | Practice Location Address |
---|---|
Amanda Leib, MD Po Box 600, 167 North Main Street, Tuba City, AZ 86045-0600 Ph: (928) 283-2501 | Amanda Leib, MD 167 North Main Street, Tuba City, AZ 86045-0600 Ph: (928) 283-2501 |
Jennifer J Whitehair, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 167 North Main Street, Tuba City, AZ 86045 Phone: 928-283-2501 Fax: 928-283-2677 | |
Kathleen A Harner, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 167 North Main Street, Tuba City, AZ 86045 Phone: 928-283-2501 Fax: 928-283-2677 | |
James Scott Deasy, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 167 North Main Street, Tuba City, AZ 86045 Phone: 928-283-2501 Fax: 928-283-2677 | |
Holly V. Alfrey-van Dyk, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 167 North Main Street, Tuba City, AZ 86045 Phone: 928-283-2501 Fax: 928-283-2677 | |
Lee Rose Wilde, Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 167 North Main St, Tuba City, AZ 86045 Phone: 866-976-5940 | |
Kathy A Deasy, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 167 North Main Street, Tuba City, AZ 86045 Phone: 928-283-2501 Fax: 928-283-2677 |