Ruth Rosen, MD | |
Hopi Health Care Center Higway 264, Mm 388, Polacca, AZ 86042-4000 | |
(928) 737-6000 | |
(928) 737-6001 |
Full Name | Ruth Rosen |
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Gender | Female |
Speciality | Family Medicine |
Location | Hopi Health Care Center Higway 264, Polacca, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124231972 | NPI | - | NPPES |
696809 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | C63110 (California) | Secondary |
207Q00000X | Family Medicine | MD2006-0507 (New Mexico) | Primary |
Entity Name | Premier Emergency Physicians Of California Medical Group Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578747606 PECOS PAC ID: 3870405384 Enrollment ID: O20041101000810 |
Entity Name | Pinnacle Emergency Physicians Of Bakersfield, A Professional Corp |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619153251 PECOS PAC ID: 7214086321 Enrollment ID: O20090520000375 |
Mailing Address | Practice Location Address |
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Ruth Rosen, MD Po Box 4000, Polacca, AZ 86042-4000 Ph: (928) 737-6000 | Ruth Rosen, MD Hopi Health Care Center Higway 264, Mm 388, Polacca, AZ 86042-4000 Ph: (928) 737-6000 |
Dr. Darren Vicenti, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: Hwy 264 Mp 388, Polacca, AZ 86042 Phone: 928-737-6000 Fax: 928-737-6001 | |
Dr. Anna Klaertje Lewis, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: Hwy 264, Mile Post 388, Polacca, AZ 86042 Phone: 928-737-6148 | |
Dr. David Thurlow Ackley, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: Highway 264 Milepost 388, Polacca, AZ 86042 Phone: 928-737-6321 Fax: 928-737-6001 |