Dr Rajiv Jetly, MD | |
3235 N Windsong Dr, Prescott Valley, AZ 86314-1222 | |
(928) 772-3340 | |
(928) 759-9611 |
Full Name | Dr Rajiv Jetly |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 32 Years |
Location | 3235 N Windsong Dr, Prescott Valley, 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 |
---|---|---|---|
1861494247 | NPI | - | NPPES |
555724 | Medicaid | AZ | |
AZ0887390 | Other | AZ | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RI0200X | Internal Medicine - Infectious Disease | 29064 (Arizona) | Secondary |
207R00000X | Internal Medicine | 29064 (Arizona) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Yavapai Regional Medical Center | Prescott, AZ | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southwest I.d. And Medical Clinic, Lc | 9739192246 | 2 |
Entity Name | Southwest I.d. & Medical Clinic, Lc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275563975 PECOS PAC ID: 9739192246 Enrollment ID: O20060731000415 |
Mailing Address | Practice Location Address |
---|---|
Dr Rajiv Jetly, MD Po Box 1629, Suite A, Prescott, AZ 86302-1629 Ph: (928) 772-3340 | Dr Rajiv Jetly, MD 3235 N Windsong Dr, Prescott Valley, AZ 86314-1222 Ph: (928) 772-3340 |
Dr. Pedro L Farinha, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 3221 N Windsong Dr, Prescott Valley, AZ 86314 Phone: 928-910-7010 Fax: 928-910-7011 | |
Nathan D Zilz, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 7700 E Florentine Rd Ste 206, Cardiology Clinic 2nd Floor, Prescott Valley, AZ 86314 Phone: 928-442-8117 Fax: 928-442-8932 | |
Thomas G. Mccleary, DO Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 3200 N Windsong Dr, Prescott Valley, AZ 86314 Phone: 928-772-1505 Fax: 928-772-6343 | |
Dr. Anil Kumar, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3262 N Windsong Dr, Prescott Valley, AZ 86314 Phone: 928-771-4788 Fax: 928-771-5712 | |
Steven S Mehta, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 7700 E Florentine Rd, Ste 206, Prescott Valley, AZ 86314 Phone: 928-442-8117 Fax: 928-772-8947 | |
Amad Zineldine, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 7700 E Florentine Rd Ste 206, Prescott Valley, AZ 86314 Phone: 928-442-8117 Fax: 928-772-8947 | |
Iyad Sami Hamarneh, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3188 N Windsong Dr, Suite A, Prescott Valley, AZ 86314 Phone: 928-775-9430 Fax: 928-775-9431 |