Conrad J Clemens, MD | |
2800 E Ajo Way, Tucson, AZ 85713-6204 | |
(520) 874-4750 | |
(520) 874-4751 |
Full Name | Conrad J Clemens |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 2800 E Ajo Way, Tucson, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104899566 | NPI | - | NPPES |
626864 | Medicaid | AZ | |
370019741 | Other | AZ | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 29838 (Arizona) | Primary |
Entity Name | Banner -- University Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508809427 PECOS PAC ID: 7719899871 Enrollment ID: O20031105000694 |
Mailing Address | Practice Location Address |
---|---|
Conrad J Clemens, MD 2701 E Elvira Rd, Tucson, AZ 85756-7124 Ph: (520) 874-3500 | Conrad J Clemens, MD 2800 E Ajo Way, Tucson, AZ 85713-6204 Ph: (520) 874-4750 |
Dr. Sivapriya Ramakrishnan, M.D Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1628 North Alvernon Way, Tucson Central Pediatrics, Tucson, AZ 85712 Phone: 520-325-8000 | |
Ashley Azizi Assadi, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1501 N Campbell Ave, Tucson, AZ 85724 Phone: 520-626-7944 | |
Dr. Jessica Wright, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1625 N Campbell Ave, Tucson, AZ 85719 Phone: 520-694-0111 | |
Robert Serlin, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 6238 E Pima St, Tucson, AZ 85712 Phone: 520-290-0022 Fax: 520-290-0044 | |
Dr. Charles Hoffmeister, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2104 E Drachman St, Tucson, AZ 85719 Phone: 541-954-5666 | |
Monika Marta Lewanczyk, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1625 N Campbell Ave, Tucson, AZ 85719 Phone: 520-626-7644 | |
Dr. Scott Thomas Radomsky, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7507 E. Tanque Verde Road, 101, Tucson, AZ 85715 Phone: 520-722-2585 Fax: 520-722-1097 |