Paul B Tilyou, MD | |
3112 Clearwater Dr, Suite B, Prescott, AZ 86205-7187 | |
(928) 541-9885 | |
(928) 776-8484 |
Full Name | Paul B Tilyou |
---|---|
Gender | Male |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 3112 Clearwater Dr, Prescott, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144280009 | NPI | - | NPPES |
393926 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 26138 (Arizona) | Primary |
Entity Name | Southwest Behavioral Health Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144384389 PECOS PAC ID: 9739075854 Enrollment ID: O20040225000948 |
Entity Name | Changepoint Integrated Health |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205877610 PECOS PAC ID: 8123004587 Enrollment ID: O20040625001074 |
Mailing Address | Practice Location Address |
---|---|
Paul B Tilyou, MD 1055 Ruth St, Suite 6, Prescott, AZ 86301-1740 Ph: (928) 445-5211 | Paul B Tilyou, MD 3112 Clearwater Dr, Suite B, Prescott, AZ 86205-7187 Ph: (928) 541-9885 |
Dr. Paul M Malczak, DO Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1001 Willow Creek Rd Ste 3300, Prescott, AZ 86301 Phone: 928-778-0827 Fax: 928-778-5622 | |
Jeffrey Freeman Penney, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 141 South Mccormick, Suite 200, Prescott, AZ 86303 Phone: 928-445-8400 Fax: 928-776-0208 | |
Edward Gogek, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 315g S. Cortez St, Prescott, AZ 86303 Phone: 928-443-0032 | |
Dr. James Frederick Cahill Jr., M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1050 Gail Gardner Way, Ste 300, Prescott, AZ 86305 Phone: 928-717-5240 Fax: 928-717-5238 | |
Dr. Katherine J Cheeves, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 141 S Mccormick St Ste 200, Prescott, AZ 86303 Phone: 928-445-8400 Fax: 928-776-0208 | |
Laura Ann Pieri, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 642 Dameron Dr, Prescott, AZ 86301 Phone: 928-445-5211 |