Robert Scott Kinkade, M D | |
651 W Mingus Ave, Suite 1d, Cottonwood, AZ 86326-4006 | |
(928) 649-1000 | |
(928) 649-3929 |
Full Name | Robert Scott Kinkade |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 32 Years |
Location | 651 W Mingus Ave, Cottonwood, 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 |
---|---|---|---|
1255360889 | NPI | - | NPPES |
442153 | Medicaid | AZ | |
AZ0863930 | Other | AZ | BCBS ID NUMBER |
020046038 | Other | AZ | RAILROAD MEDICARE ID NUMB |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 26410 (Arizona) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Banner Ironwood Medical Center | Queen creek, AZ | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Banner Physician Specialists Arizona Llc | 6204002272 | 255 |
Entity Name | Banner Physician Specialists Arizona Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316228802 PECOS PAC ID: 6204002272 Enrollment ID: O20111222000509 |
Mailing Address | Practice Location Address |
---|---|
Robert Scott Kinkade, M D 651 W. Mingus Ave, Ste 1d, Cottonwood, AZ 86326 Ph: (928) 649-1000 | Robert Scott Kinkade, M D 651 W Mingus Ave, Suite 1d, Cottonwood, AZ 86326-4006 Ph: (928) 649-1000 |
Dr. S Blair Faulkner, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 340 S Willard St, Cottonwood, AZ 86326 Phone: 928-639-6025 Fax: 928-649-7921 | |
Dr. Hu Al Blake Ii, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 199 S Candy Ln, Suite 1a, Cottonwood, AZ 86326 Phone: 928-649-7969 Fax: 928-634-7921 | |
Dr. Algimantas L Jecius, Surgery Medicare: Accepting Medicare Assignments Practice Location: 340 S Willard St, Cottonwood, AZ 86326 Phone: 928-639-7969 | |
Dr. Leon A Pontikes, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 199 S Candy Ln, Suite 1a, Cottonwood, AZ 86326 Phone: 928-649-7969 Fax: 928-634-7921 |