Dr Jennifer Tatiana Jara Gomez, MD | |
1856 E Innovation Park Dr, Oro Valley, AZ 85755-1963 | |
(520) 825-7111 | |
(520) 818-1253 |
Full Name | Dr Jennifer Tatiana Jara Gomez |
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Gender | Female |
Speciality | Pediatrics |
Location | 1856 E Innovation Park Dr, Oro Valley, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164076022 | NPI | - | NPPES |
160205 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 65852 (Arizona) | Primary |
Entity Name | Marana Health Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447263405 PECOS PAC ID: 2365348091 Enrollment ID: O20031211000790 |
Mailing Address | Practice Location Address |
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Dr Jennifer Tatiana Jara Gomez, MD Po Box 188, Marana, AZ 85653-0188 Ph: (520) 682-4111 | Dr Jennifer Tatiana Jara Gomez, MD 1856 E Innovation Park Dr, Oro Valley, AZ 85755-1963 Ph: (520) 825-7111 |
Christa R. Whittard, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1856 E Innovation Park Dr, Oro Valley, AZ 85755 Phone: 520-825-7111 Fax: 520-818-1253 | |
Brian J Blair, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 200 W Magee Rd Ste 160, Oro Valley, AZ 85704 Phone: 520-620-9898 Fax: 520-620-9810 | |
Mai El Gasim, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1856 E Innovation Park Dr, Oro Valley, AZ 85755 Phone: 520-825-7111 Fax: 520-818-1253 | |
Derinda Ann Radjeski, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1856 E Innovation Park Dr, Oro Valley, AZ 85755 Phone: 520-825-7111 Fax: 520-818-1253 | |
Diana Lynn Honebrink, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 10390 N La Canada Dr Ste 110, Oro Valley, AZ 85737 Phone: 520-420-2110 Fax: 520-420-2111 | |
John Peter Seward, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 10390 N La Canada Dr Ste 110, Oro Valley, AZ 85737 Phone: 520-420-2110 Fax: 520-420-2111 |