Heidi L Lodge, MD | |
100 E 5th St, Ste 350, Douglas, AZ 85607-2859 | |
(520) 364-7659 | |
(520) 364-8541 |
Full Name | Heidi L Lodge |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Experience | 36 Years |
Location | 100 E 5th St, Douglas, Arizona |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1669426144 | NPI | - | NPPES |
892887 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 22674 (Arizona) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Casa De La Paz Hospice | Sierra vista, AZ | Hospice |
Copper Queen Community Hospital | Bisbee, AZ | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Bisbee Hospital Association | 5092626168 | 44 |
Entity Name | Bisbee Hospital Association |
---|---|
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 |
---|---|
Heidi L Lodge, MD 101 Cole Ave, Bisbee, AZ 85603-1327 Ph: (520) 432-6481 | Heidi L Lodge, MD 100 E 5th St, Ste 350, Douglas, AZ 85607-2859 Ph: (520) 364-7659 |
Dr. Hector F Garcia, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1116 N G Ave, Ste. 7, Douglas, AZ 85607 Phone: 520-327-4017 Fax: 520-323-7012 | |
Soni Elizabeth Stake, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 E 5th St, Douglas, AZ 85607 Phone: 520-364-7659 Fax: 520-364-8541 | |
Dr. Aman Paul Mansury, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2174 W Oak Ave, Douglas, AZ 85607 Phone: 520-364-7931 Fax: 520-364-2551 |