Dr Elaine Carrasco Cornelio, MD | |
Po Box Ph, Chinle, AZ 86503-8000 | |
(928) 674-7070 | |
Not Available |
Full Name | Dr Elaine Carrasco Cornelio |
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Gender | Female |
Speciality | Pediatrics |
Location | Po Box Ph, Chinle, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518250711 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 2361671 (Idaho) | Primary |
Entity Name | Providence Health & Services Oregon |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114015971 PECOS PAC ID: 9335057447 Enrollment ID: O20031117000153 |
Mailing Address | Practice Location Address |
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Dr Elaine Carrasco Cornelio, MD Po Box Ph, Chinle, AZ 86503-8000 Ph: () - | Dr Elaine Carrasco Cornelio, MD Po Box Ph, Chinle, AZ 86503-8000 Ph: (928) 674-7070 |
Dr. Donna R. Perry, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: Hwy 191 Hospital Road, Chinle, AZ 86503 Phone: 928-674-7001 Fax: 928-674-7705 | |
Dr. Catherine Jill Moses, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: Off Hwy 191 Hospital Road, Chinle, AZ 86503 Phone: 928-674-7001 Fax: 928-674-7705 | |
Dr. Mary E Eraci, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: Off Hwy 191 Hospital Road, Chinle, AZ 86503 Phone: 928-674-7001 Fax: 928-674-7705 | |
Michael Lee From, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: Highway 191 And Hospital Road, Chinle, AZ 86503 Phone: 928-674-7001 | |
Dr. Vaishnavi Sridhar, MD Pediatrics Medicare: Medicare Enrolled Practice Location: Highway 191 And Hospital Road, Chinle, AZ 86503 Phone: 928-674-7001 | |
Benjamin Thomas Simms, MD Pediatrics Medicare: Medicare Enrolled Practice Location: Us 191, Po Drawer Ph, Chinle, AZ 86503 Phone: 928-674-7001 | |
Tracy A Hentz, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: Po Box Ph, Chinle, AZ 86503 Phone: 928-674-7001 |