Jennifer Rebecca Albon, MD | |
815 E 15th St, Pediatric Center Of Excellence, Douglas, AZ 85607-1631 | |
(520) 364-5437 | |
(520) 364-4261 |
Full Name | Jennifer Rebecca Albon |
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Gender | Female |
Speciality | Pediatrics |
Location | 815 E 15th St, Douglas, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497054639 | NPI | - | NPPES |
906800 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | RESIDENT (Maryland) | Secondary |
208000000X | Pediatrics | A149072 (California) | Primary |
208000000X | Pediatrics | 48927 (Arizona) | Secondary |
Entity Name | Chiricahua Community Health Centers Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942241443 PECOS PAC ID: 5395638878 Enrollment ID: O20040206000860 |
Mailing Address | Practice Location Address |
---|---|
Jennifer Rebecca Albon, MD 505 Parnassus Ave, San Francisco, CA 94143-2204 Ph: (520) 364-1429 | Jennifer Rebecca Albon, MD 815 E 15th St, Pediatric Center Of Excellence, Douglas, AZ 85607-1631 Ph: (520) 364-5437 |
Peter Anthony Rice, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 815 E 15th St, Douglas, AZ 85607 Phone: 520-364-5437 Fax: 520-364-4261 | |
Dr. Milla Sergeerna Rosen, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 815 E 15th St, Douglas, AZ 85607 Phone: 520-364-5437 Fax: 520-364-4261 | |
Eduardo Antonio Marrero Velis, Pediatrics Medicare: Medicare Enrolled Practice Location: 815 E 15th St, Douglas, AZ 85607 Phone: 520-364-5437 Fax: 520-364-4261 | |
Dr. Neftali Francisco Fernandez, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 815 E 15th St, Douglas, AZ 85607 Phone: 520-364-5437 Fax: 520-364-4261 | |
Dr. Zachary Sean Patterson, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 815 E 15th St, Douglas, AZ 85607 Phone: 520-364-5437 Fax: 520-805-2986 | |
Jonathan Paul Melk, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 815 E 15th Street, Douglas, AZ 85607 Phone: 520-364-5437 Fax: 520-805-2985 |