Kristen R Burkholder, MD | |
Hwy 98 & Navajo Route 16, Shonto, AZ 86044-7397 | |
(928) 672-3000 | |
(928) 697-3005 |
Full Name | Kristen R Burkholder |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 24 Years |
Location | Hwy 98 & Navajo Route 16, Shonto, 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 |
---|---|---|---|
1083795108 | NPI | - | NPPES |
981482 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 41592 (Arizona) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Tuba City Regional Health Care Corporation | Tuba city, AZ | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Tuba City Regional Health Care Corporation | 4284542531 | 126 |
Dhhs Ihs Phoenix Area | 7810163011 | 16 |
Entity Name | Tuba City Regional Health Care Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548294424 PECOS PAC ID: 4284542531 Enrollment ID: O20031105000107 |
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 |
Entity Name | Kayenta Alternative Rural Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174692529 PECOS PAC ID: 3678558129 Enrollment ID: O20040621000422 |
Entity Name | Dhhs Ihs Phoenix Area |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396022026 PECOS PAC ID: 0244405629 Enrollment ID: O20120105000013 |
Entity Name | Dhhs Ihs Phoenix Area |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265719934 PECOS PAC ID: 7810163011 Enrollment ID: O20120109000961 |
Mailing Address | Practice Location Address |
---|---|
Kristen R Burkholder, MD Po Box 368, Kayenta, AZ 86033-0368 Ph: (928) 697-4000 | Kristen R Burkholder, MD Hwy 98 & Navajo Route 16, Shonto, AZ 86044-7397 Ph: (928) 672-3000 |