Ayesha Venkateswaran, | |
436 5th Avenue, Kotzebue, AK 99752-0043 | |
(907) 442-3321 | |
Not Available |
Full Name | Ayesha Venkateswaran |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 12 Years |
Location | 436 5th Avenue, Kotzebue, Alaska |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285047142 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | R74505 (Arizona) | Secondary |
208M00000X | Hospitalist | 2021048199 (Missouri) | Secondary |
207Q00000X | Family Medicine | MD60746395 (Washington) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Chinle Comprehensive Health Care Facility | Chinle, AZ | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Maniilaq Association | 6103881792 | 16 |
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 | Dhhs Phs Naihs Shiprock Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780639971 PECOS PAC ID: 0749193837 Enrollment ID: O20031105000809 |
Entity Name | Maniilaq Association |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861698805 PECOS PAC ID: 6103881792 Enrollment ID: O20041123000372 |
Entity Name | Dhhs Ihs Phoenix Area |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356628028 PECOS PAC ID: 9436325420 Enrollment ID: O20120222000148 |
Mailing Address | Practice Location Address |
---|---|
Ayesha Venkateswaran, Po Box 43, Kotzebue, AK 99752-0043 Ph: (907) 442-3321 | Ayesha Venkateswaran, 436 5th Avenue, Kotzebue, AK 99752-0043 Ph: (907) 442-3321 |
Dr. James Michael Farrington, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 436 5th & Ted Stevens Way, Kotzebue, AK 99752 Phone: 907-442-7148 | |
Julia Sicilia, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 436 5th &ted Stevens Way, Kotzebue, AK 99752 Phone: 907-442-7202 Fax: 907-442-7312 | |
Linda Olson Bergum, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 436 5th Avenue, Kotzebue, AK 99752 Phone: 907-442-3321 | |
Amelia Stutman, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 436 5th Avenue, Kotzebue, AK 99752 Phone: 907-442-3321 | |
Dr. Srikanth Rao Dakoji, M.D.,PH.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 479 Mission St, Apt C8, Kotzebue, AK 99752 Phone: 415-283-6925 | |
Kathryn Buffey, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 435 5th Avenue, Kotzebue, AK 99752 Phone: 907-442-7442 Fax: 907-442-7013 |