Irma E Urrutia-potter, MD | |
1209 W Target Range Rd, Nogales, AZ 85621-2466 | |
(520) 281-1550 | |
(520) 281-4487 |
Full Name | Irma E Urrutia-potter |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 41 Years |
Location | 1209 W Target Range Rd, Nogales, 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 |
---|---|---|---|
1447363890 | NPI | - | NPPES |
1619414 | Other | IL | BCBS GROUP |
3633309286030501 | Medicaid | IL | |
036112375 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | ME142031 (Florida) | Secondary |
207Q00000X | Family Medicine | 036112375 (Illinois) | Secondary |
207Q00000X | Family Medicine | 59168 (Arizona) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ascension St Marys Hospital | Rhinelander, WI | Hospital |
Ascension St Michaels Hospital | Stevens point, WI | Hospital |
Adventhealth Heart Of Florida | Davenport, FL | Hospital |
Aspirus Wausau Hospital | Wausau, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mariposa Community Health Center, Inc | 8123926326 | 20 |
Aspirus Rhinelander And Tomahawk Hospitals And Clinics Inc | 9335059856 | 321 |
Entity Name | Mariposa Community Health Center, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417985474 PECOS PAC ID: 8123926326 Enrollment ID: O20031226000065 |
Entity Name | Tmc Medical Network |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750832283 PECOS PAC ID: 9638457013 Enrollment ID: O20161107000996 |
Mailing Address | Practice Location Address |
---|---|
Irma E Urrutia-potter, MD 825 N Grand Ave Ste 100, Nogales, AZ 85621-1061 Ph: (520) 761-2133 | Irma E Urrutia-potter, MD 1209 W Target Range Rd, Nogales, AZ 85621-2466 Ph: (520) 281-1550 |
James Lyle Derickson, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1852 N Mastick Way, Nogales, AZ 85621 Phone: 520-281-1550 Fax: 520-281-4487 | |
Valerie A Wohl, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1852 N Mastick Way, Nogales, AZ 85621 Phone: 520-281-1550 Fax: 520-281-1112 | |
Dr. Guy A Crawford, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1209 W Target Range Rd, Nogales, AZ 85621 Phone: 520-287-4747 Fax: 520-285-3136 | |
Kenneth Jones, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1852 N Mastick Way, Nogales, AZ 85621 Phone: 520-281-1550 Fax: 520-281-4487 | |
La Kesha S Francis, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1209 W Target Range Rd Ste 100, Nogales, AZ 85621 Phone: 520-287-4747 Fax: 520-287-4487 | |
William Lester Bartholomew, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1171 W Target Range Rd, Nogales, AZ 85621 Phone: 520-285-3000 | |
Bernardo Chavira, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 1852 N Mastick Way, Nogales, AZ 85621 Phone: 520-281-1550 Fax: 520-281-1112 |