| Marc A Kaplan Pllc | |
|
2585 E Wilcox Dr Ste C Sierra Vista AZ 85635-2822 | |
| (520) 459-0000 | |
| (520) 459-5141 |
| Full Name | Marc A Kaplan Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 2585 E Wilcox Dr Ste C, Sierra Vista, Arizona |
| Authorized Official Name and Position | Sandy Kaplan (CONTRACTS) |
| Authorized Official Contact | 5204586331 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Marc A Kaplan Pllc 2585 E Wilcox Dr Ste C Sierra Vista AZ 85635-2822 Ph: (520) 459-0000 | Marc A Kaplan Pllc 2585 E Wilcox Dr Ste C Sierra Vista AZ 85635-2822 Ph: (520) 459-0000 |
| NPI Number | 1699796631 |
|---|---|
| Provider Enumeration Date | 07/23/2006 |
| Last Update Date | 01/02/2008 |
| Medicare PECOS PAC ID | 0547208696 |
|---|---|
| Medicare Enrollment ID | O20050420000456 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699796631 | NPI | - | NPPES |
| 4114163 | Other | AETNA | |
| 255465 | Medicaid | AZ | |
| AZ0779310 | Other | AZ | BCBSAZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 1872 (Arizona) | Primary |
| Provider Name | Marc A Kaplan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619918836 PECOS PAC ID: 0941108450 Enrollment ID: I20050607000491 |
| Provider Name | Erick A Haldorson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144338039 PECOS PAC ID: 7618100991 Enrollment ID: I20140513000833 |
| Provider Name | Joseph C Thompson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821541723 PECOS PAC ID: 1456685577 Enrollment ID: I20190624002909 |
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