Kelly Andrew Lara, | |
10120 E Old Vail Rd Ste 100, Tucson, AZ 85747-9414 | |
(520) 989-8012 | |
(520) 989-8014 |
Full Name | Kelly Andrew Lara |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 9 Years |
Location | 10120 E Old Vail Rd Ste 100, Tucson, 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 |
---|---|---|---|
1083008940 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | A148544 (California) | Secondary |
208600000X | Surgery | 64112 (Arizona) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Northwest Allied Physicians Llc | 7618972514 | 108 |
Entity Name | Northwest Allied Physicians Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003833179 PECOS PAC ID: 7618972514 Enrollment ID: O20060928000110 |
Entity Name | Northwest Cardiology Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154642056 PECOS PAC ID: 6608991526 Enrollment ID: O20100916000024 |
Mailing Address | Practice Location Address |
---|---|
Kelly Andrew Lara, Po Box 689022, Franklin, TN 37068-9022 Ph: () - | Kelly Andrew Lara, 10120 E Old Vail Rd Ste 100, Tucson, AZ 85747-9414 Ph: (520) 989-8012 |
Dr. Timothy M Rankin, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1501 N Campbell Ave, Dept Of Surgery, Tucson, AZ 85724 Phone: 714-457-1786 | |
Bashir Adam Koko, MBBS Surgery Medicare: Medicare Enrolled Practice Location: 1501 N Campbell Ave Rm 5304, Tucson, AZ 85724 Phone: 520-626-7747 Fax: 520-626-2247 | |
Dr. Patrick A Smith, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1951 N Wilmot Rd, Building 2, Tucson, AZ 85712 Phone: 520-795-5845 Fax: 520-795-8620 | |
Dr. Michele Lynn Boyce Ley, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 5240 E Knight Dr Ste 114, Tucson, AZ 85712 Phone: 520-605-2778 Fax: 520-535-2232 | |
Dr. Silvia Kurtovic, MD Surgery Medicare: Medicare Enrolled Practice Location: 5780 N Swan Rd Ste 180, Tucson, AZ 85718 Phone: 520-448-9490 Fax: 520-448-9492 | |
James C Balserak, MD Surgery Medicare: Medicare Enrolled Practice Location: 5301 E Grant Rd, Tucson, AZ 85712 Phone: 520-324-5461 Fax: 520-795-8620 | |
Dr. Ronald A Kline, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3900 E Broadway Blvd, Tucson, AZ 85711 Phone: 520-230-7682 Fax: 520-393-8479 |