Lydia Ehlenberger, MD | |
4616 N 51st Ave, Phoenix, AZ 85031-1721 | |
(623) 247-6266 | |
(623) 247-9742 |
Full Name | Lydia Ehlenberger |
---|---|
Gender | Female |
Speciality | Obstetrics & Gynecology |
Location | 4616 N 51st Ave, Phoenix, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700846631 | NPI | - | NPPES |
871261 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 29643 (Arizona) | Primary |
Entity Name | Mountain Park Health Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558308825 PECOS PAC ID: 8325949647 Enrollment ID: O20040119000460 |
Entity Name | Obstetrix Medical Group Of Phoenix Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407957152 PECOS PAC ID: 8628961430 Enrollment ID: O20040206000419 |
Entity Name | Winslow Memorial Hospital Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477653889 PECOS PAC ID: 8628988409 Enrollment ID: O20040224001246 |
Mailing Address | Practice Location Address |
---|---|
Lydia Ehlenberger, MD 2702 N 3rd St, Phoenix, AZ 85004-4608 Ph: (602) 323-3407 | Lydia Ehlenberger, MD 4616 N 51st Ave, Phoenix, AZ 85031-1721 Ph: (623) 247-6266 |
Mr. Memie Clifton Burton, MD. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 4212 N 16th Street, Phoenix, AZ 85016 Phone: 602-263-1511 Fax: 602-263-1637 | |
Karen Christine Adams, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 4212 N 16th St, Phoenix, AZ 85016 Phone: 602-263-1511 Fax: 602-263-1619 | |
Dr. Jose Gomez Cisneros, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3140 N 35th Ave Ste 7, Phoenix, AZ 85017 Phone: 602-353-6656 Fax: 602-442-2065 | |
Dr. Joel Barkley, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2601 E Roosevelt St, Phoenix, AZ 85008 Phone: 602-344-5011 | |
Dr. Robert Stuart Fowler, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 5779 E Mayo Blvd, Phoenix, AZ 85054 Phone: 480-301-8000 | |
Mark D Johnson, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1701 E Thomas Rd, Building 1 Suite 101, Phoenix, AZ 85016 Phone: 602-343-2767 Fax: 602-343-2766 | |
Jill D Gibson, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1313 E Osborn Rd Ste 250, Phoenix, AZ 85014 Phone: 602-265-9161 Fax: 602-265-1823 |