Mr Frederic Leland Ondovchak, RN, MSN, APR | |
13175 E State Route 169, Dewey, AZ 86327-7416 | |
(928) 632-1155 | |
(928) 632-5580 |
Full Name | Mr Frederic Leland Ondovchak |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 10 Years |
Location | 13175 E State Route 169, Dewey, 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 |
---|---|---|---|
1932503802 | NPI | - | NPPES |
302368 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 26NJ00523800 (New Jersey) | Secondary |
363LF0000X | Nurse Practitioner - Family | AP9884 (Arizona) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Arizona Emergency Medicine Specialists Pc | 8921295684 | 15 |
Entity Name | Arizona Emergency Medicine Specialists Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134439706 PECOS PAC ID: 8921295684 Enrollment ID: O20110208000837 |
Mailing Address | Practice Location Address |
---|---|
Mr Frederic Leland Ondovchak, RN, MSN, APR 601 Tapco Ln, Clarkdale, AZ 86324-3415 Ph: (609) 707-5291 | Mr Frederic Leland Ondovchak, RN, MSN, APR 13175 E State Route 169, Dewey, AZ 86327-7416 Ph: (928) 632-1155 |
Ms. Linda Jo Nelson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12075 E State Route 69 Ste B, Dewey, AZ 86327 Phone: 928-772-1673 Fax: 928-772-1674 | |
Vanessa Margaret Scheu, NP-C, MSN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1485 E Sunset Pt, Dewey, AZ 86327 Phone: 928-221-0111 Fax: 928-224-5290 | |
Lindsey M Robbins, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12075 E State Route 69 Ste B, Dewey, AZ 86327 Phone: 928-772-1673 Fax: 928-772-1674 | |
Ms. Mary Elizabeth Massieu, DNP, FNP -C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12075 E State Route 69, Dewey, AZ 86327 Phone: 928-777-9600 Fax: 602-218-4443 | |
Riley Kathleen Hordon, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12075 E State Route 69 Ste B, Dewey, AZ 86327 Phone: 928-772-1673 Fax: 928-772-1674 | |
Amy Kay Durham, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13110 E Ramos St, Dewey, AZ 86327 Phone: 928-713-2070 | |
Mrs. Sheila Lynelle Uridil, APRN-NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13175 East Highway 169, Dewey, AZ 86027 Phone: 928-632-1155 Fax: 928-632-8295 |