John Tisdale, MD | |
Highway 191 And Hospital Road, Chinle, AZ 86503 | |
(928) 674-7166 | |
(928) 674-7705 |
Full Name | John Tisdale |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 15 Years |
Location | Highway 191 And Hospital Road, Chinle, 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 |
---|---|---|---|
1649414525 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 35.121001 (Ohio) | Primary |
208000000X | Pediatrics | 35.121001 (Ohio) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Chinle Comprehensive Health Care Facility | Chinle, AZ | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Dhhs Phs Naihs Chinle Comprehensive Health Care Facility | 9436062585 | 9 |
Entity Name | Dhhs Phs Naihs Chinle Comprehensive Health Care Facility |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508800129 PECOS PAC ID: 9436062585 Enrollment ID: O20031106000210 |
Mailing Address | Practice Location Address |
---|---|
John Tisdale, MD Po Box Ph, Chinle, AZ 86503-8000 Ph: (928) 674-7166 | John Tisdale, MD Highway 191 And Hospital Road, Chinle, AZ 86503 Ph: (928) 674-7166 |
Amanda Gelman, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: Highway 191 And Hospital Road, Chinle, AZ 86503 Phone: 928-674-7166 Fax: 928-674-7705 | |
Kristin Marie Yeoman, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: Highway 191 And Hospital Road, Chinle, AZ 86503 Phone: 928-674-7166 Fax: 928-674-7705 | |
Evan Taylor, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: Po Box Ph, Chinle, AZ 86503 Phone: 928-674-7001 | |
Jessica L Weeks, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: Az Highway 191 And Hospital Rd, Chinle, AZ 86503 Phone: 928-674-7166 Fax: 928-674-7705 | |
Dr. Elizabeth Quinn Ziatyk, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: Highway 191 And Hospital Road, Chinle, AZ 86503 Phone: 914-260-2294 | |
Xavier Alain Orcutt, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: Highway 191 & Hospital Drive, Chinle, AZ 86503 Phone: 928-674-7001 | |
Dr. Sayumi De Silva, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: Hwy 191 And Hospital Drive, Chinle Comprehensive Care Facility, Chinle, AZ 86503 Phone: 928-674-7166 Fax: 928-674-7705 |