| Martin Dufour, MD | |
|
1852 N Mastick Way, Nogales, AZ 85621-1063 | |
| (520) 281-1550 | |
| (520) 281-4487 |
| Full Name | Martin Dufour |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 1852 N Mastick Way, Nogales, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578792800 | NPI | - | NPPES |
| 0087019 | Medicaid | OH | |
| 3025372 | Medicaid | OH | |
| 604437 | Medicaid | AZ | |
| 59450 | Other | AZ | ARIZONA MEDICAL LICENSE |
| Entity Name | Permanente Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
| Entity Name | Regents Of The University Of California |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952998973 PECOS PAC ID: 8022922475 Enrollment ID: O20031118001149 |
| Mailing Address | Practice Location Address |
|---|---|
| Martin Dufour, MD 825 N Grand Ave Ste 100, Nogales, AZ 85621-1061 Ph: (520) 761-2128 | Martin Dufour, MD 1852 N Mastick Way, Nogales, AZ 85621-1063 Ph: (520) 281-1550 |
James Lyle Derickson, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1852 N Mastick Way, Nogales, AZ 85621 Phone: 520-281-1550 Fax: 520-281-4487 | |
Valerie A Wohl, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1852 N Mastick Way, Nogales, AZ 85621 Phone: 520-281-1550 Fax: 520-281-1112 | |
Dr. Guy A Crawford, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1209 W Target Range Rd, Nogales, AZ 85621 Phone: 520-287-4747 Fax: 520-285-3136 | |
Kenneth Jones, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1852 N Mastick Way, Nogales, AZ 85621 Phone: 520-281-1550 Fax: 520-281-4487 | |
La Kesha S Francis, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1209 W Target Range Rd Ste 100, Nogales, AZ 85621 Phone: 520-287-4747 Fax: 520-287-4487 | |
William L Bartholomew, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1171 W Target Range Rd, Nogales, AZ 85621 Phone: 520-285-3000 | |
Bernardo Chavira, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 1852 N Mastick Way, Nogales, AZ 85621 Phone: 520-281-1550 Fax: 520-281-1112 |