Brenda Christine Pecotte De Gonzalez, DO | |
437 Vista Ave, Page, AZ 86040 | |
(928) 645-8123 | |
Not Available |
Full Name | Brenda Christine Pecotte De Gonzalez |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 437 Vista Ave, Page, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083134241 | NPI | - | NPPES |
125.071309 | Other | LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 20A18861 (California) | Secondary |
207Q00000X | Family Medicine | 009724 (Arizona) | Primary |
Entity Name | Tallahassee Memorial Healthcare Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437177664 PECOS PAC ID: 6103724778 Enrollment ID: O20031222000279 |
Mailing Address | Practice Location Address |
---|---|
Brenda Christine Pecotte De Gonzalez, DO Po Box 1625, Page, AZ 86040-1625 Ph: (928) 645-8123 | Brenda Christine Pecotte De Gonzalez, DO 437 Vista Ave, Page, AZ 86040 Ph: (928) 645-8123 |
Dr. Raymond Lee Holsten, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 467 Vista Avenue, Page, AZ 86040 Phone: 928-645-8123 Fax: 928-645-3862 | |
Dr. Dennis James Foley, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 467 Vista Avenue, Page, AZ 86040 Phone: 928-645-8123 Fax: 928-645-3862 | |
David Hipkin, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 463 S. Lake Powell Blvd, Page, AZ 86040 Phone: 928-645-0945 Fax: 928-645-2364 | |
Dr. Eric P Wadleigh, DDS Family Medicine Medicare: Medicare Enrolled Practice Location: 436 Vist Ave, Page, AZ 86040 Phone: 928-645-2505 | |
Dr. Barbara M Zimmerman, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 467 Vista Avenue, Page, AZ 86040 Phone: 928-645-8123 Fax: 928-645-3862 | |
Dr. Matthew Nelson, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 467 Vista Ave, Page, AZ 86040 Phone: 928-645-8123 |