Peter Niemczyk, MD | |
5171 Cub Lake Rd, Bldg C Ste 340, Show Low, AZ 85901-7888 | |
(928) 537-0111 | |
(623) 582-9666 |
Full Name | Peter Niemczyk |
---|---|
Gender | Male |
Speciality | Urology |
Experience | 37 Years |
Location | 5171 Cub Lake Rd, Show Low, 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 |
---|---|---|---|
1518953041 | NPI | - | NPPES |
2Z2716 | Other | AZ | HEALTHNET |
477100 | Medicaid | AZ | |
5135633 | Other | AETNA | |
674661 | Other | CIGNA | |
P00378324 | Other | RAILROAD MEDICARE | |
AZ0156450 | Other | AZ | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 34718 (Arizona) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Canyon Vista Medical Center | Sierra vista, AZ | Hospital |
Copper Queen Community Hospital | Bisbee, AZ | Hospital |
Benson Hospital | Benson, AZ | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Sierra Vista Regional Health Center Medical Group Llc | 3779732854 | 35 |
Entity Name | Sierra Vista Regional Health Center Medical Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043575483 PECOS PAC ID: 3779732854 Enrollment ID: O20121004000679 |
Mailing Address | Practice Location Address |
---|---|
Peter Niemczyk, MD 20325 N 51st Ave, #102, Glendale, AZ 85308-5674 Ph: (623) 780-2300 | Peter Niemczyk, MD 5171 Cub Lake Rd, Bldg C Ste 340, Show Low, AZ 85901-7888 Ph: (928) 537-0111 |
John Thomas Mansfield, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 4951 S White Mountain Rd Bldg A, Show Low, AZ 85901 Phone: 360-425-3720 Fax: 360-425-0090 |