Dr Joseph Henry Tedesco, DO | |
1739 E Beverly Ave, Suite 201, Kingman, AZ 86401-3593 | |
(928) 692-3456 | |
(928) 692-7071 |
Full Name | Dr Joseph Henry Tedesco |
---|---|
Gender | Male |
Speciality | Obstetrics & Gynecology |
Location | 1739 E Beverly Ave, Kingman, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538166046 | NPI | - | NPPES |
107533 | Medicaid | AZ | |
2148 | Other | AZ | LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 2148 (Arizona) | Primary |
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 |
---|---|
Dr Joseph Henry Tedesco, DO 1739 E Beverly Ave, Suite 201, Kingman, AZ 86401-3593 Ph: (928) 692-3456 | Dr Joseph Henry Tedesco, DO 1739 E Beverly Ave, Suite 201, Kingman, AZ 86401-3593 Ph: (928) 692-3456 |
Dr. Yusria Malik, M.D., M.P.H. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1739 E Beverly Ave Ste 200, Kingman, AZ 86409 Phone: 702-671-2385 | |
Dr. Tony Joseph Lemanski, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1739 E Beverly Ave, Suite 201, Kingman, AZ 86401 Phone: 928-692-3456 Fax: 928-692-7071 | |
Dr. James Robert Thomas, PH.D., M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 3939 Stockton Hill Rd, Suite C, Kingman, AZ 86409 Phone: 928-681-4273 Fax: 928-681-4276 | |
Dr. Lorne Franklin Taylor, D.O. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1739 E Beverly Ave, Ste 201, Kingman, AZ 86401 Phone: 928-692-3456 Fax: 928-692-7071 |