Bernadette Acdan Braze, DO | |
361 Alexander Spring Rd, Carlisle Regional Medical Center, Carlisle, PA 17015-6940 | |
(717) 249-1212 | |
Not Available |
Full Name | Bernadette Acdan Braze |
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Gender | Female |
Speciality | Otolaryngology - Facial Plastic Surgery |
Location | 361 Alexander Spring Rd, Carlisle, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598971715 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207YS0123X | Otolaryngology - Facial Plastic Surgery | 5101015748 (Michigan) | Primary |
207YS0123X | Otolaryngology - Facial Plastic Surgery | 6229 (Arizona) | Secondary |
Entity Name | Kingman Healthcare Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265423917 PECOS PAC ID: 6901791367 Enrollment ID: O20040216001173 |
Mailing Address | Practice Location Address |
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Bernadette Acdan Braze, DO 1739 E Beverly Ave, Ste 200, Kingman, AZ 86409-3593 Ph: (928) 263-4722 | Bernadette Acdan Braze, DO 361 Alexander Spring Rd, Carlisle Regional Medical Center, Carlisle, PA 17015-6940 Ph: (717) 249-1212 |
Dr. Richard Edward Ferraro, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 9 Brookwood Ave, Carlisle, PA 17015 Phone: 717-243-0616 | |
Russell Anthony Macaluso, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 850 Walnut Bottom Rd, Suite 304, Carlisle, PA 17013 Phone: 717-249-5400 Fax: 717-249-6100 |