Christopher A Porter Iv, MD | |
1608 N Stockton Hill Rd, Kingman, AZ 86401-4141 | |
(928) 718-0180 | |
Not Available |
Full Name | Christopher A Porter Iv |
---|---|
Gender | Male |
Speciality | Interventional Radiology |
Experience | 18 Years |
Location | 1608 N Stockton Hill Rd, Kingman, 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 |
---|---|---|---|
1063611945 | NPI | - | NPPES |
ENROLLED | Medicaid | IA | |
784613000 | Medicaid | MN | |
ENROLLED | Medicaid | WI | |
ENROLLED | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 50103 (Minnesota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Kingman Regional Medical Center | Kingman, AZ | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Kingman Healthcare Inc | 6901791367 | 170 |
Entity Name | Kingman Healthcare Inc |
---|---|
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 |
---|---|
Christopher A Porter Iv, MD 3269 Stockton Hill Rd, Kingman, AZ 86409-3619 Ph: (928) 757-2101 | Christopher A Porter Iv, MD 1608 N Stockton Hill Rd, Kingman, AZ 86401-4141 Ph: (928) 718-0180 |
Dr. Wade G Alleman, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1608 N Stockton Hill Rd, Suite 104, Kingman, AZ 86401 Phone: 928-718-0180 | |
Kale D Bodily, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1608 N Stockton Hill Rd, Suite 104, Kingman, AZ 86401 Phone: 928-718-0180 | |
Douglas W Brandt, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3269 Stockton Hill Rd, Kingman, AZ 86409 Phone: 928-757-0620 | |
Max L Terry, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 2110 Airway Ave, Kingman, AZ 86409 Phone: 928-681-1800 Fax: 928-681-1832 | |
Dr. Brian Christopher Goss, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3269 N Stockton Hill Rd, Kingman, AZ 86409 Phone: 928-757-2101 |