Dr Thomas Joseph Peters, MD | |
167 North Main Street, Tuba City, AZ 86045-0600 | |
(928) 283-2501 | |
(928) 283-2677 |
Full Name | Dr Thomas Joseph Peters |
---|---|
Gender | Male |
Speciality | Orthopaedic Surgery |
Location | 167 North Main Street, Tuba City, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912906645 | NPI | - | NPPES |
203943 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | 9582 (Arizona) | Primary |
Entity Name | Tuba City Regional Health Care Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548294424 PECOS PAC ID: 4284542531 Enrollment ID: O20031105000107 |
Entity Name | Dhhs Ihs Phoenix Area |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356628028 PECOS PAC ID: 9436325420 Enrollment ID: O20120222000148 |
Mailing Address | Practice Location Address |
---|---|
Dr Thomas Joseph Peters, MD P.o. Box 600, Tuba City, AZ 86045-0600 Ph: (928) 283-2501 | Dr Thomas Joseph Peters, MD 167 North Main Street, Tuba City, AZ 86045-0600 Ph: (928) 283-2501 |
James P Beck, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 167 North Main Street, Tuba City, AZ 86045 Phone: 928-283-2501 Fax: 928-283-2677 | |
Shannah Malia Redmon, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 167 North Main Street, Tuba City, AZ 86045 Phone: 928-283-2501 Fax: 928-283-2677 | |
Dr. Kosta Mark Zinis, DO Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 167 N Main St, Tuba City, AZ 86045 Phone: 928-283-2501 | |
Vivian K Chang, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 167 North Main Street, Tuba City, AZ 86045 Phone: 928-283-2501 Fax: 928-283-2677 |