Mr Elias Omar Ruiloba, MD | |
2002 N Stockton Hill Rd, #104, Kingman, AZ 86401-4698 | |
(928) 718-4800 | |
(928) 757-3256 |
Full Name | Mr Elias Omar Ruiloba |
---|---|
Gender | Male |
Speciality | Psychiatry |
Experience | 39 Years |
Location | 2002 N Stockton Hill Rd, Kingman, 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 |
---|---|---|---|
1124014196 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 25458 (Arizona) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Serenity Tms Centers, Llc | 0840550596 | 26 |
West Yavapai Guidance Clinic Inc | 3375524358 | 18 |
Entity Name | West Yavapai Guidance Clinic Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952550071 PECOS PAC ID: 3375524358 Enrollment ID: O20040526000422 |
Entity Name | Serenity Tms Centers, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710492095 PECOS PAC ID: 0840550596 Enrollment ID: O20180129001252 |
Entity Name | Gps Prescott Opco Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861036386 PECOS PAC ID: 5193159333 Enrollment ID: O20200406001486 |
Entity Name | Aimsaz Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871115311 PECOS PAC ID: 6204249964 Enrollment ID: O20210119002581 |
Mailing Address | Practice Location Address |
---|---|
Mr Elias Omar Ruiloba, MD 1743 Sycamore Ave, Kingman, AZ 86409-0927 Ph: (928) 757-8111 | Mr Elias Omar Ruiloba, MD 2002 N Stockton Hill Rd, #104, Kingman, AZ 86401-4698 Ph: (928) 718-4800 |
Arif Husain, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3505 Western Ave, Kingman, AZ 86409 Phone: 928-757-8111 Fax: 928-757-1199 | |
Dr. Sirpa A Tavakoli, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1743 Sycamore Ave, Kingman, AZ 86409 Phone: 928-757-8111 | |
Laurence David Seltzer, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 915 Airway Ave Ste A, Kingman, AZ 86409 Phone: 928-718-4800 | |
Dr. Laurence Schiff, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3931 Stockton Hill Rd, Kingman, AZ 86409 Phone: 928-681-2121 Fax: 928-681-2000 | |
Dr. Ernest Lavere Harman Jr., MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 5036 Stockton Hill Rd, Kingman, AZ 86409 Phone: 928-377-1615 Fax: 928-692-1888 | |
Celia Rodriguez, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1741 Sycamore Ave, Kingman, AZ 86409 Phone: 928-757-8111 Fax: 928-757-3256 |