Tina Audie, MD | |
13395 N Marana Main St, Marana, AZ 85653-7008 | |
(520) 682-4111 | |
(520) 682-3817 |
Full Name | Tina Audie |
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Gender | Female |
Speciality | Pediatrics |
Location | 13395 N Marana Main St, Marana, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477947679 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | RS2015-0281 (New Mexico) | Secondary |
208000000X | Pediatrics | 56172 (Arizona) | Primary |
Entity Name | Alaska Native Tribal Health Consortium |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437189339 PECOS PAC ID: 6709780265 Enrollment ID: O20031125000772 |
Entity Name | Southcentral Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780614263 PECOS PAC ID: 5496663627 Enrollment ID: O20051027000416 |
Mailing Address | Practice Location Address |
---|---|
Tina Audie, MD Po Box 188, Marana, AZ 85653-0188 Ph: (520) 682-4111 | Tina Audie, MD 13395 N Marana Main St, Marana, AZ 85653-7008 Ph: (520) 682-4111 |
Amy Sternstein, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 13395 N Marana Main St, Marana, AZ 85653 Phone: 520-682-4111 Fax: 520-682-3817 | |
Dr. Noel John M. Carrasco, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 12308 N Paseo Penuela, Marana, AZ 85658 Phone: 928-301-4646 | |
Dr. Nicholas Lehan, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 13395 N Marana Main St, Marana, AZ 85653 Phone: 520-682-4111 Fax: 520-682-3817 | |
Sally Abdelmalek, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 13395 N Marana Main St, Marana, AZ 85653 Phone: 520-682-4111 Fax: 520-682-3817 |