Dr Codyjo Kenneth Kraemer, MD | |
5301 E Grant Rd, Tucson, AZ 85712-2805 | |
(520) 324-5461 | |
(520) 324-2051 |
Full Name | Dr Codyjo Kenneth Kraemer |
---|---|
Gender | Male |
Speciality | Vascular Surgery |
Experience | 11 Years |
Location | 5301 E Grant Rd, Tucson, 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 |
---|---|---|---|
1942647425 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | R73900 (Arizona) | Secondary |
2086S0129X | Surgery - Vascular Surgery | 59231 (Arizona) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Tucson Medical Center | Tucson, AZ | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Tucson Medical Center | 4284527227 | 26 |
Pima Heart Physicians Pc | 6507751294 | 68 |
Entity Name | Banner -- University Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508809427 PECOS PAC ID: 7719899871 Enrollment ID: O20031105000694 |
Entity Name | Pima Heart Physicians Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730137480 PECOS PAC ID: 6507751294 Enrollment ID: O20040220000507 |
Entity Name | Tucson Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174512792 PECOS PAC ID: 4284527227 Enrollment ID: O20040225000516 |
Entity Name | Northern Arizona Healthcare Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669914552 PECOS PAC ID: 3577473362 Enrollment ID: O20170801003409 |
Mailing Address | Practice Location Address |
---|---|
Dr Codyjo Kenneth Kraemer, MD 5301 E Grant Rd, Tucson, AZ 85712-2874 Ph: (520) 324-5461 | Dr Codyjo Kenneth Kraemer, MD 5301 E Grant Rd, Tucson, AZ 85712-2805 Ph: (520) 324-5461 |
Dr. Timothy M Rankin, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1501 N Campbell Ave, Dept Of Surgery, Tucson, AZ 85724 Phone: 714-457-1786 | |
Bashir Adam Koko, MBBS Surgery Medicare: Medicare Enrolled Practice Location: 1501 N Campbell Ave Rm 5304, Tucson, AZ 85724 Phone: 520-626-7747 Fax: 520-626-2247 | |
Dr. Patrick A Smith, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1951 N Wilmot Rd, Building 2, Tucson, AZ 85712 Phone: 520-795-5845 Fax: 520-795-8620 | |
Dr. Michele Lynn Boyce Ley, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 5240 E Knight Dr Ste 114, Tucson, AZ 85712 Phone: 520-605-2778 Fax: 520-535-2232 | |
Dr. Silvia Kurtovic, MD Surgery Medicare: Medicare Enrolled Practice Location: 5780 N Swan Rd Ste 180, Tucson, AZ 85718 Phone: 520-448-9490 Fax: 520-448-9492 | |
Dr. Bo Zhang, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 1501 N Campbell Ave, Tucson, AZ 85724 Phone: 520-626-6302 | |
James C Balserak, MD Surgery Medicare: Medicare Enrolled Practice Location: 5301 E Grant Rd, Tucson, AZ 85712 Phone: 520-324-5461 Fax: 520-795-8620 |