John M Heusinkveld, MD | |
167 North Main Street, Tuba City, AZ 86045-0600 | |
(928) 283-2501 | |
(928) 283-2677 |
Full Name | John M Heusinkveld |
---|---|
Gender | Male |
Speciality | Obstetrics/gynecology |
Experience | 28 Years |
Location | 167 North Main Street, Tuba City, Arizona |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922082973 | NPI | - | NPPES |
813940 | Medicaid | AZ | |
83538577 | Medicaid | NM | |
49602021 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 41276 (Colorado) | Secondary |
207V00000X | Obstetrics & Gynecology | 31147 (Arizona) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Banner - University Medical Center Tucson Campus | Tucson, AZ | Hospital |
Banner-university Medical Center South Campus | Tucson, AZ | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Banner -- University Medical Group | 7719899871 | 817 |
Entity Name | Banner -- University Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508809427 PECOS PAC ID: 7719899871 Enrollment ID: O20031105000694 |
Mailing Address | Practice Location Address |
---|---|
John M Heusinkveld, MD Po Box 600, Tuba City, AZ 86045-0600 Ph: (928) 283-2501 | John M Heusinkveld, MD 167 North Main Street, Tuba City, AZ 86045-0600 Ph: (928) 283-2501 |
Jennifer J Whitehair, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 167 North Main Street, Tuba City, AZ 86045 Phone: 928-283-2501 Fax: 928-283-2677 | |
Amanda Leib, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 167 North Main Street, Tuba City, AZ 86045 Phone: 928-283-2501 Fax: 928-283-2677 | |
Kathleen A Harner, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 167 North Main Street, Tuba City, AZ 86045 Phone: 928-283-2501 Fax: 928-283-2677 | |
James Scott Deasy, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 167 North Main Street, Tuba City, AZ 86045 Phone: 928-283-2501 Fax: 928-283-2677 | |
Holly V. Alfrey-van Dyk, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 167 North Main Street, Tuba City, AZ 86045 Phone: 928-283-2501 Fax: 928-283-2677 | |
Lee Rose Wilde, Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 167 North Main St, Tuba City, AZ 86045 Phone: 866-976-5940 | |
Kathy A Deasy, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 167 North Main Street, Tuba City, AZ 86045 Phone: 928-283-2501 Fax: 928-283-2677 |