Dr Kathleen Jane Vedock, DO, FAAP | |
155 Calle Portal, Suite 700, Sierra Vista, AZ 85635-2900 | |
(520) 459-0203 | |
(520) 364-4261 |
Full Name | Dr Kathleen Jane Vedock |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 155 Calle Portal, Sierra Vista, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235103508 | NPI | - | NPPES |
807125 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 3952 (Arizona) | Primary |
Entity Name | Chiricahua Community Health Centers Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942241443 PECOS PAC ID: 5395638878 Enrollment ID: O20040206000860 |
Entity Name | Bisbee Hospital Association |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518968767 PECOS PAC ID: 5092626168 Enrollment ID: O20040623001007 |
Mailing Address | Practice Location Address |
---|---|
Dr Kathleen Jane Vedock, DO, FAAP 1205 F Ave, Douglas, AZ 85607-1920 Ph: (520) 364-6852 | Dr Kathleen Jane Vedock, DO, FAAP 155 Calle Portal, Suite 700, Sierra Vista, AZ 85635-2900 Ph: (520) 459-0203 |
Dr. Jeffrey H Hill, M.D., PHD Pediatrics Medicare: Medicare Enrolled Practice Location: 5700 E Highway 90 Fl 4, Sierra Vista, AZ 85635 Phone: 520-263-3500 | |
Ms. Joselita M Abeleda, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1590 Paseo San Luis, Ste 102, Sierra Vista, AZ 16354 Phone: 520-459-0203 Fax: 520-364-4261 | |
Dr. Stella C Raposas, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 155 Calle Portal Ste 700, Sierra Vista, AZ 85635 Phone: 520-459-0203 Fax: 520-515-8663 | |
Mr. Steven K Dahlke, MD. PEDIATRICS Pediatrics Medicare: Medicare Enrolled Practice Location: 1590 Paseo San Luis, Suite 102, Sierra Vista, AZ 85635 Phone: 520-459-0203 Fax: 520-364-4261 | |
Rita Kilgore, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 155 Calle Portal Ste 700, Sierra Vista, AZ 85635 Phone: 520-459-0203 Fax: 520-364-4261 |