Desert Palms Medical Associates Inc | |
3015 Highway 95 Ste 105 Bullhead City AZ 86442-4334 | |
(928) 763-2001 | |
(928) 763-2038 |
Full Name | Desert Palms Medical Associates Inc |
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Speciality | Internal Medicine |
Location | 3015 Highway 95 Ste 105, Bullhead City, Arizona |
Authorized Official Name and Position | Heather Ann Brennan (ADMINISTRATOR) |
Authorized Official Contact | 9287632001 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Desert Palms Medical Associates Inc 3015 Highway 95 Ste 105 Bullhead City AZ 86442-4334 Ph: (928) 763-2001 | Desert Palms Medical Associates Inc 3015 Highway 95 Ste 105 Bullhead City AZ 86442-4334 Ph: (928) 763-2001 |
NPI Number | 1467509372 |
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Provider Enumeration Date | 01/04/2007 |
Last Update Date | 06/30/2022 |
Medicare PECOS PAC ID | 8820073133 |
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Medicare Enrollment ID | O20040621001904 |
Identifier | Type | State | Issuer |
---|---|---|---|
1467509372 | NPI | - | NPPES |
323171 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 23472 (Arizona) | Primary |
261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Secondary |
Provider Name | Javed A Malik |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1487652350 PECOS PAC ID: 8729063557 Enrollment ID: I20040812000909 |
Provider Name | Darren K Johnson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205328382 PECOS PAC ID: 2062768948 Enrollment ID: I20180706002012 |
Provider Name | Kristen N Peddycord |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144704933 PECOS PAC ID: 6002153640 Enrollment ID: I20190121001294 |
Provider Name | Tiffany Lynn Doggett |
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Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1447805080 PECOS PAC ID: 2961827662 Enrollment ID: I20200728003566 |
Beneze Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3003 Highway 95, Suite G73, Bullhead City, AZ 86442 Phone: 928-758-7700 Fax: 928-758-5700 | |
Dadra Community Care Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3706 Highway 95 Ste 101, Bullhead City, AZ 86442 Phone: 928-201-9286 Fax: 928-219-4610 | |
River Cities Community Clinic Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 813 Hancock Rd, Suite 2, Bullhead City, AZ 86442 Phone: 928-704-9700 | |
All Wellness Medical Center Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2500 Canyon Rd Ste A1, Bullhead City, AZ 86442 Phone: 928-704-4499 Fax: 928-704-4949 | |
All Women's Regional Medical Center, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2500 Canyon Rd, Ste A1, Bullhead City, AZ 86442 Phone: 928-704-4499 Fax: 928-704-4949 | |
Dadra Hospital Medicine Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3706 Highway 95 Ste 101, Bullhead City, AZ 86442 Phone: 928-201-9286 Fax: 928-219-4610 | |
Jr Renaissance Health Services, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1957 Hway 95 Ste 23, Bullhead City, AZ 86442 Phone: 928-234-3834 |