Dr Tiffany A Lunt, MD | |
1050 Gail Gardner Way Ste 100, Prescott, AZ 86305-1631 | |
(928) 777-0700 | |
(928) 778-5507 |
Full Name | Dr Tiffany A Lunt |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 1050 Gail Gardner Way Ste 100, Prescott, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063492346 | NPI | - | NPPES |
108878 | Medicaid | AZ | |
36387 | Other | AZ | AZ LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | N4561 (Texas) | Secondary |
207Q00000X | Family Medicine | 36387 (Arizona) | Primary |
Entity Name | Yavapai Regional Medical Center Physician Care, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255582003 PECOS PAC ID: 5294898987 Enrollment ID: O20090106000798 |
Mailing Address | Practice Location Address |
---|---|
Dr Tiffany A Lunt, MD Po Box 10880, Prescott, AZ 86304-0880 Ph: (928) 777-0700 | Dr Tiffany A Lunt, MD 1050 Gail Gardner Way Ste 100, Prescott, AZ 86305-1631 Ph: (928) 777-0700 |
Michael James Lacaze, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1050 Gail Gardner Way Ste 300, Prescott, AZ 86305 Phone: 928-717-5232 Fax: 928-717-5238 | |
Dr. Robert Jeffrey Zieve, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 343 S Montezuma St, Prescott, AZ 86303 Phone: 928-445-2900 Fax: 928-445-2053 | |
Dr. William F De Vito, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2078 Willow Creek Rd, Prescott, AZ 86301 Phone: 928-776-6400 Fax: 855-633-3142 | |
Dr. Kevin S Doyle, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3107 Clearwater Dr, Prescott, AZ 86305 Phone: 928-445-2522 Fax: 928-445-1910 | |
Dr. Irene Anna Royko, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1654 Coyote Rd, Prescott, AZ 86303 Phone: 928-778-4767 Fax: 928-778-4767 | |
Jennifer Goddard, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1050 Gail Gardner Way Ste 300, Prescott, AZ 86305 Phone: 928-717-5232 Fax: 928-717-5238 |