Benjamin Dodge, MD | |
Fort Defiance Indian Hospital Board Inc., Corner Of Routes N12 & N7, Fort Defiance, AZ 86504 | |
(928) 729-8097 | |
Not Available |
Full Name | Benjamin Dodge |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 8 Years |
Location | Fort Defiance Indian Hospital Board Inc., Fort Defiance, Arizona |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932556826 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD2019-0276 (New Mexico) | Primary |
Facility Name | Location | Facility Type |
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Fort Defiance Indian Hospital | Fort defiance, AZ | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
The Fort Defiance Indian Hospital Board, Incorporation | 0941336697 | 143 |
Entity Name | The Fort Defiance Indian Hospital Board, Incorporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477876639 PECOS PAC ID: 0941336697 Enrollment ID: O20100429001153 |
Mailing Address | Practice Location Address |
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Benjamin Dodge, MD Po Box 2035, Window Rock, AZ 86515-2035 Ph: (505) 710-6592 | Benjamin Dodge, MD Fort Defiance Indian Hospital Board Inc., Corner Of Routes N12 & N7, Fort Defiance, AZ 86504 Ph: (928) 729-8097 |
Dr. Walter Max Adam, MD Family Medicine Medicare: Medicare Enrolled Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8000 | |
Rodney Wilson Cuny, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8000 | |
Oswaldo Pereira, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8000 | |
Naomi Jean Young, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8000 Fax: 928-729-8169 | |
John William Whitaker, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8000 | |
Dr. Marek Marcinkiewicz, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: Corner Of Route N7 & N12, Tsehootsooi Med Ctr, Fort Defiance, AZ 86504 Phone: 928-729-8130 Fax: 928-729-8669 |