Carol Lynn Brokschmidt, MD | |
Corner Of Rt. N12 And N7, Fort Defiance Phs Hospital, Fort Defiance, AZ 86504 | |
(928) 729-8757 | |
Not Available |
Full Name | Carol Lynn Brokschmidt |
---|---|
Gender | Female |
Speciality | Obstetrics & Gynecology |
Location | Corner Of Rt. N12 And N7, Fort Defiance, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124104112 | NPI | - | NPPES |
19747 | Other | AZ | LICENSE |
893356 | Other | AZ | AHCCCS |
52424553 | Medicaid | NM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 19747 (Arizona) | Primary |
Entity Name | Northbay Healthcare Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821147786 PECOS PAC ID: 0042122244 Enrollment ID: O20031105000409 |
Mailing Address | Practice Location Address |
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Carol Lynn Brokschmidt, MD 9522 E Minton St, Mesa, AZ 85207-2538 Ph: (480) 354-8766 | Carol Lynn Brokschmidt, MD Corner Of Rt. N12 And N7, Fort Defiance Phs Hospital, Fort Defiance, AZ 86504 Ph: (928) 729-8757 |
Dr. Michael Ihsaan, MD MPH Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: Corner Of Rt N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8000 | |
Dr. Scott Shin, D.O. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: Fort Defiance Phs Hospital, Corner Of Route N12 & N7, Fort Defiance, AZ 86504 Phone: 928-729-8770 | |
Claude Clayton Perkins, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8000 | |
Carl Theodore Opderbeck, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: Route 7 And Route 12, Fort Defiance Indian Hospital, Fort Defiance, AZ 86504 Phone: 928-729-8020 Fax: 828-729-8794 | |
Kathleen Cohen, Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8000 | |
Ms. Beth Vermont, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8000 |