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2018PROVIDERDIRECTORY
List of network doctors and specialists
UnitedHealthcare Dual Complete (HMO SNP)
Arizona
Apache, Cochise, Coconino, Graham, Greenlee, La Paz, Mohave,
Navajo, Pima, Pinal, Santa Cruz,
Yavapai and Yuma Counties
For more information, please contact Customer Service at:
Toll-Free 1-877-614-0623, TTY 7118 a.m. - 8 p.m. local time, 7
days a week
www.UHCCommunityPlan.com
Y0066_170626_143320_NM
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Introduction
Your plan
PROVIDER DIRECTORYThis directory provides a list of your plans
network providers.This directory is for the plan listed on the
cover. It is not a complete list of network providers
available to you. You can search for a network provider and
print a directory online, which is
updated weekly and available 24 hours a day, 7 days a week.
This directory is current as of June 10, 2018. Some network
providers may have been added or
removed from our network after this directory was printed. We do
not guarantee that each provider
is still accepting new members.
For the most up-to-date information about the plans network
providers in your area:
Visit www.UHCCommunityPlan.com or call Customer Service
toll-free at 1-877-614-0623,
TTY 711, 8 a.m. - 8 p.m. local time, 7 days a week.
Plans are insured through UnitedHealthcare Insurance Company or
one of its affiliated companies,
a Medicare Advantage organization with a Medicare contract.
Enrollment in the plan depends on
the plans contract renewal with Medicare.
Providers are prohibited from discriminating against any member,
with regard to quality of service
or accessibility of services, on the basis of race, ethnicity,
national origin, religion, sex, age, mental
or physical disability or medical condition, sexual orientation,
claims experience, medical history,
evidence of insurability, disability, genetic information, or
source of payment.
This information is available for free in other languages.
Please call Customer Service toll-free at the
number listed above.
Esta informacin est disponible sin costo en otros idiomas. Llame
a nuestro Servicio al Cliente al
nmero gratuito indicado arriba.
This document may be available in an alternate format such as
Braille, larger print or audio. Please
call Customer Service at the toll-free phone number listed
above.
The provider network may change at any time. You will receive
notice when necessary.
Y0066_170626_143320_NM
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Introduction
IntroductionThis directory provides a list of the plans network
providers. To get detailed information about your
health care coverage, please see your Evidence of Coverage.
What is a primary care provider?A primary care provider (PCP) is
the health care professional who provides most of your care.
Your PCP can help you:
Make smart lifestyle choices to help improve and maintain your
health
Get preventive care and health screenings
Better understand your medical conditions
Coordinate any specialist care to help avoid duplicate and
expensive tests.
Manage your prescriptions and identify possible harmful
interactions
Select a primary care provider (PCP)You will need to choose one
of our network providers to be your primary care provider (PCP).
PCPs
are listed in the Primary Care Provider section of this
directory. The term PCP will be used
throughout this directory.
If you choose a PCP who is not taking new patients, we may
assign you to a different PCP. If this
happens, you can switch to another PCP who is accepting new
patients.
Your PCP plays an important role in your health care and we want
you to be comfortable with the
provider you choose. If you want to switch providers, call
Customer Service toll-free at
1-877-614-0623, 8 a.m. - 8 p.m. local time, 7 days a week. TTY
users should call 711.
The network providers listed in this directory have agreed to
provide you with your health care
coverage. You can see a network specialist without getting a
referral. If you have been going to one
network provider, you are not required to continue going to that
same provider. Check your
Evidence of Coverage to make sure your plan includes additional
benefits or that you've signed up
for optional supplemental riders before making appointments for
dental, vision or hearing services.
If I need emergency or urgent careA medical emergency is when
you, or any other ordinary person with an average knowledge of
health and medicine, believe that you have symptoms that require
immediate medical care to
prevent death, loss of a limb, or loss of function of a limb.
The medical symptoms may be an illness,
injury, severe pain, or a medical condition that is quickly
getting worse.
If you have a medical emergency, get help as quickly as
possible. Call 911 or go to the nearest
emergency room or hospital. Emergency care can always be
obtained in or out of the service area
from the nearest available provider. Emergency services are also
covered whether a provider is in
our network or not. You or someone else should call and tell us
about your emergency care, usually
within 48 hours.
Urgently needed services is a non-emergency, unforeseen medical
illness, injury, or condition, that
requires immediate medical care. When out of the service area,
urgent care may be obtained from
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Introductionthe first available provider whether the provider is
in our network or not. In addition, when out of the
service area, you can obtain dialysis treatment from any
qualified dialysis provider. If you obtain
routine care from out-of-network providers neither Medicare nor
your Plan will be responsible for
the costs.
If you get a billThere may be times when you get a bill from a
provider for the full cost of medical care you have
received. If you get a bill, contact us. In many cases, you
should send this bill to us instead of
paying it. We will look at the bill and decide whether the
services should be covered. If we decide
they should be covered, we will pay the provider directly.
Please see your Evidence of Coverage for
more information.
If youre on Medicare and MedicaidIf youre a Qualified Medicare
Beneficiary (QMB), your doctor may not bill you for
deductibles,
copays or coinsurance for Medicare-covered services, except for
Part D prescription drug copays.
Please show your member ID card and your state-issued Medicaid
member ID card when you see
the doctor or use other plan services. This will help ensure
youre billed for the correct amount.
Accessing your mental health benefitsTo access your mental
health benefits, call the toll-free mental health number on your
member ID
card. When you call, a representative will check your
eligibility and get basic information about you
and your situation. Depending on the help you need, a clinician
may talk with you and recommend
a provider and treatment plan. If you prefer, your PCP may call
and arrange a referral for you. Your
personal information will be kept strictly confidential.
Organ transplant servicesYour plan has a nationwide network of
facilities that perform organ transplants (including the heart,
lung, liver, intestine, kidney, bone marrow and/or pancreas).
Solid organ transplants must be
performed at a facility that is currently Medicare-approved for
your specific type of transplant. The
plans hospital network for organ transplant services is
different than the network shown in the
Hospitals section of this provider directory. Some hospitals in
the plans network for other
medical services are not in the plans network for transplant
services. The complete list of
Medicare-approved facilities in your plans network may change
throughout the year. For
information on network facilities for transplant services,
please call Customer Service toll-free at
1-877-614-0623, TTY 711 or refer to the transplant vendor
website information listed in the
National Vendors section of this provider directory.
What is the service area for your plan?Your service area is
listed below.
UnitedHealthcare Dual Complete (HMO SNP)
Arizona - Apache, Cochise, Coconino, Graham, Greenlee, La Paz,
Maricopa, Mohave, Navajo,
Pima, Pinal, Santa Cruz, Yavapai, and Yuma counties
How do you find network providers in your area?Network providers
in your area are listed in the following sections of this
directory. To find a
provider using this directory, turn to the Table of Contents on
the next page and see where each
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Introduction
section begins. Go to the section of the type of provider you
are looking for. Once you are in that
section, locate the city you live in. Under each city you will
find a list of providers in alphabetical
order.
You may have more providers to choose from if the service area
shown above is larger than the
service area shown on the front of this directory. You can also
search online at
www.UHCCommunityPlan.com, which is updated weekly and available
24 hours a day, 7 days a
week.
If you have questions about your plan or require assistance in
selecting a PCP, please call our
Customer Service Department toll-free at 1-877-614-0623, TTY
711. Or visit
www.UHCCommunityPlan.com.
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National
Vendors.............................................................................................................................................................................
3
Primary Care
Providers............................................................................................................................................................
15
Specialists......................................................................................................................................................................................215
Skilled Nursing
Facilities......................................................................................................................................................
949
Hospitals.........................................................................................................................................................................................953
Urgent
Care/Surgicenters...................................................................................................................................................
957
Ancillary...........................................................................................................................................................................................963
Acupuncture /
Chiropractic.............................................................................................................................................1033
Dental............................................................................................................................................................................................
1039
Vision.............................................................................................................................................................................................
1093
Index...............................................................................................................................................................................................1099
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Table of Contents
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National Vendors The following national vendors are available to
provide services toUnitedHealthcare customers throughout the United
States regardless of where you receive theservices.
Provider(s) Phone Number WebSite
Cardiac Diagnostic - Cardiac Monitoring Services
LifeWatch 1-877-774-9846 www.lifewatch.com
Preventice Services 1-888-747-1442
www.preventicesolutions.com/services/preventice-services.html
Cardiac Diagnostic - Cardiac Monitoring Services & Home INR
Monitor/test strips
CardioNet 1-888-312-2328 www.cardionet.com
Convenience Care Clinic
MinuteClinic 1-866-389-ASAP (2727) www.minuteclinic.com
RediClinic 1-866-607-7334 www.rediclinic.com/riteaid
The Little Clinic 1-877-852-2677
http://www.thelittleclinic.com
Walgreens Healthcare Clinic 1-866-825-3227
www.walgreens.com/topic/pharmacy/healthcare-clinic
Dialysis
DaVita Dialysis 1-866-475-7757 ext. 253706 www.davita.com
Dialysis Clinic, Inc See website www.dciinc.org
Fresenius Medical Care 1-866-434-2597 www.fmcna.com
Home Dialysis Services LLC 1-815-741-6830
www.dccdialysis.com
DME - AED - wearable defibrillator
ZOLL Lifecore 1-800-543-3267 www.zoll.com
DME - Ambulatory Infusion Pumps
InfuSystem Inc 1-800-962-9656 www.infusystem.com
DME - Bone Growth Stimulator
Bioventus 1-800-396-4325 www.bioventusglobal.com
DJO 1-800-321-9549 www.djortho.com
EBI 1-800-526-2579 www.biomet.com
Orthofix 1-800-535-4492 www.orthofix.com
DME - Breast pump purchase
Edgepark Medical Supplies 1-888-394-5375 www.edgepark.com
Medline Industries 1-800-633-5463 www.medline.com
Walmart Stores Inc. (d/b/aWalmart and Sams Club)
1-800-273-3455 www.walmart.com
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Provider(s) Phone Number WebSite
DME - Commodity, oxygen, respiratory
Lincare - may be knownlocally by a different name;refer to
website
See website www.lincare.com
Rotech Healthcare - may beknown locally by a differentname;
refer to website
See website www.rotech.com
DME - Commodity, oxygen, respiratory, negative pressure wound
care, manual wheelchairs
Apria Healthcare 1-800-277-4288 www.apria.com
DME - CPM/Continuous Passive Motion
Otto Bock Healthcare 1-800-328-4058 www.ottobockus.com
DME - CPM/continuous passive motion, Thermocomp, TENS
Kinex Medical Company 1-800-845-6364 www.kinexmedical.com
DME - Diabetic insulin pump and pump supplies
Insulet Corporation 1-800-591-3455 www.myomnipod.com
MiniMed Distribution 1-877-576-6113 www.minimed.com
DME - Dynamic Splinting; Bracing & Orthotics
Dynasplint Systems 1-800-638-6771 www.dynasplint.com
DME - Home INR Monitor/test strips
Roche Diagnostics Corp 1-800-779-7616
www.coaguchek.com/coaguchek_patient/en/home/products/how_to_get_a_coaguchek.html
DME - Home PT/INR
Alere Home Monitoring 1-877-262-4669 www.ptinr.com/
DME - Incontinence, diapers, soft goods and wound care
supplies
Medline Industries 1-800-633-5463 www.medline.com
DME - Mail order disposable medical supplies including
Medicare-covered diabetic supplies (bloodglucose monitors, test
strips and lancets)
Byram Healthcare 1-877-902-9726 www.byramhealthcare.com
Edgepark Medical Supplies 1-888-394-5375 www.edgepark.com
McKesson Patient CareSolutions
1-855-404-6727
www.mckesson.com/providers/home-care/mckesson-patient-care-solutions
DME - Mobility products - custom/complex power wheelchairs and
seating systems
Hoveround Corporation 1-888-225-1547
www.hoveround.com/MobilityNow
Numotion 1-888-232-1333 www.numotion.com
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Provider(s) Phone Number WebSite
DME - Negative pressure wound pump and wound care surfaces
KCI USA 1-800-275-4524 www.kci1.com
DME - Orthotics and Prosthetics
Linkia Orthotics &Prosthetics
1-877-754-6542 www.linkia.com
DME - Respiratory high frequency chest compression oscillation
system (vest)
Advanced Respiratory 1-800-826-4224 www.thevest.com
Electromed 1-800-462-1045 www.smartvest.com
RespirTech 1-800-793-1261 www.respirtech.com
DME - Speech generating device
Prentke Romich 1-800-268-5224 www.prentrom.com
Tobii Dynavox Systems 1-866-396-2869
www.dynavoxtech.com/tobii-dynavox
DME - TENS units
Electrostim MedicalServices, Inc
1-800-588-8383 www.wecontrolpain.com
Zynex Medical 1-800-495-6670 www.zynexmed.com
DME - Wound care supplies for residents of nursing homes
Gordian Medical, Inc 1-800-568-5514 www.amtwoundcare.com
Hearing Aid Services - Hearing aid services / hearing testing,
evaluation, hearing aid selection andfitting
hi HealthInnovations 1-866-926-6632
www.hihealthinnovations.com
Hearing Aid Services - Hearing testing, evaluation, hearing aid
selection and fitting
EPIC Hearing Health Care 1-866-956-5400 www.epichearing.com
Home Health
Bayada Nurses 1-800-305-3000 / 1-888-422-9232
www.bayada.com
Heartland HealthcareServices
1-800-736-4427 / 1-419-252-5500
www.hcr-manorcare.com orwww.heartlandhomehealth.com
Innovative Senior Care See website
www.brookdaleliving.com/Innovative-senior-care.aspx
Maxim Health Care Services 1-800-899-9525
www.maximhomecare.com
PSA Healthcare 1-770-441-1580 www.psahealthcare.com
Home Infusion
Basic Home Infusion 1-888-822-7428 www.basichomeinfusion.com
Lincare Infusion Services See website www.lincare.com
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Provider(s) Phone Number WebSite
Home Infusion - TPN, Enteral and Synagis
BioScrip Infusion Services 1-866-788-7710 www.bioscrip.com
Home Sleep Testing
NovaSom 1-877-753-3776 www.novasom.com
Virtuox 1-877-337-7111 www.virtuox.net
Watermark Medical 1-877-710-6999
http://www.watermarkmedical.com/
Hospice - Home and inpatient
AseraCare Hospice See website www.aseracare.com
Heartland HealthcareServices
1-800-736-4427 / 1-419-252-5500
www.hcr-manorcare.com orwww.heartlandhomehealth.com
Laboratory
True Health Diagnostics 1-800-268-5224
www.truehealthdiag.com
Laboratory - Anatomic pathology - including dermatopathology
Bako Integrated PhysicianSolutions
1-877-376-7284 www.bakocts.com
Laboratory - Anatomic pathology - including dermatopathology,
gastroenterology, genitourinary,hematology and gynecological
pathology
AmeriPath 1-800-354-3449 www.ameripath.com
StrataDx Pathology 1-800-325-7284 www.stratadx.com
Laboratory - BRCA for breast & ovarian cancer; COLARIS for
colon & endometrial cancer; MELARISfor melanoma &
pancreatic cancer; Theraguide 5-FU
Myriad Genetic Laboratories 1-800-469-7423 www.myriad.com
Laboratory - Clinical, pathology and genetic testing
ARUP Labs 1-800-522-2787 www.aruplab.com
BioReference Laboratories 1-800-229-5227
www.bioreference.com
Laboratory Corporation ofAmerica
1-888-522-2677 (1-888-LABCORP)
www.labcorp.com
Lineagen, Inc 1-801-931-6200 www.lineagen.com
Laboratory - Dialysis testing
Nationwide LaboratoryServices
1-888-377-3522 www.nationwidelab.com
Laboratory - Drug testing, medication monitoring
Dominion Diagnostics 1-800-511-8427 / 1-800-711-6974
www.dominiondiagnostics.com
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Provider(s) Phone Number WebSite
Laboratory - Fecal DNA screening
Exact Sciences Laboratories 1-844-870-8870
www.cologuardtest.com
Laboratory - Genetic testing
Foundation Medicine, Inc. 1-888-988-3639
www.foundationmedicine.com
GeneDx 1-301-519-2100 www.genedx.com
Natera, Inc 1-650-249-9090 www.natera.com
Sequenom Laboratories 1-877-821-7266 www.sequenom.com
Laboratory - Genetic testing (OncotypeDx)
Genomic Health 1-888-662-6897 (1-888-ONCOTYPE)
www.genomichealth.com
Laboratory - Molecular Diagnostics
ColorGenomics 1-650-651-7130 www.color.com
Veracyte 1-888-9AFIRMA www.veracyte.com
Laboratory - Molecular Oncology
NeoGenomics Laboratories,Inc
1-866-776-5907 neogenomics.com
Laboratory - Nerve Pathology (ENFD)
Therapath Neuropathology 1-800-681-4338 www.therapath.com
Laboratory - Oncometrix, hematopathology, gastrointestinal
pathology, dermatopathology,gynecologic pathology
Poplar Healthcare 1-888-244-7284 www.poplarhealthcare.com
Laboratory - Predictive genetic testing for breast cancer
patients (MammaPrint)
Agendia 1-888-321-2732 www.agendia.com
Laboratory - Predictive genetic testing for cardiac
abnormalities
CardioDx 1-866-941-4996 www.cardiodx.com
Laboratory - Prenatal testing
Ariosa Diagnostics 1-855-927-4672 www.ariosadx.com
PerkinElmer Laboratories 1-888-762-4000 www.perkinelmer.com
Laboratory - Specialty genetic testing
CBLPath 1-877-225-7284 www.cblpath.com
Integrated Genetics 1-800-357-5744
www.integratedgenetics.com
Invitae Corporation 1-800-436-3037 www.invitae.com
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Provider(s) Phone Number WebSite
Laboratory - Specialty infectious disease diagnostic testing,
molecular biology, immunology andserology
Medical DiagnosticLaboratories
1-877-269-0090 www.mdlab.com
Laboratory - Specialty laboratory
Ambry Genetics 1-866-262-7943 www.ambrygen.com
Counsyl 1-888-COUNSYL (1-888-268-6795)
www.counsyl.com
Laboratory - Specialty oncology genetic testing
Integrated Oncology 1-800-447-5816
www.integratedoncology.com
Laboratory - Therapeutic medication monitoring, drug testing
Aegis Sciences Corporation 1-800-533-7052 www.aegislabs.com
Alere Toxicology 1-800-340-4029 www.aleretoxicology.com
Essential Testing 1-855-623-0623 www.etlab.org
Millennium Health 1-877-451-3534
www.milleniumlaboratories.com
Precision Diagnostics 1-800-635-6901 www.precisiondxlab.com
Rennova Health 1-844-RENNOVA www.rennovahealth.com
Tribal Diagnostics 1-405-896-2978 www.tribaldiagnostics.com
Other Specialty Services - Optical services - medical benefits
only
Shopko Eyecare 1-800-791-7333 www.shopko-optical.com
Other Specialty Services - Urgent care services
Concentra Health Services See website www.concentra.com
Other Specialty Services - Womens health - high risk OB /
prenatal care
Optum Women's andChildren's Health
1-800-950-3963 www.alere.com
Specialty Pharmacy
AllianceRx Walgreens Prime 1-888-282-5166
www.walgreenshealth.com
BriovaRx SpecialtyPharmacy
1-866-218-7398 www.briovarx.com
Specialty Pharmacy - Carticel, Elelyso and Prolastin
Dohmen Life ScienceServices
1-866-336-1336 www.dohmen.com
Specialty Pharmacy - Limited Distribution Specialty Drugs
Biologics 1-800-856-1984 www.biologicsinc.com
Caremark 1-877-287-1234 www.cvsspecialty.com
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Provider(s) Phone Number WebSite
Specialty Pharmacy - Xiaflex
US Bioservices 1-888-518-7246 www.usbioservices.com
Specialty Pharmacy and Home Infusion - Limited Distribution
Drugs
Accredo 1-800-803-2523 www.accredo.com
BriovaRx Infusion Services 1-877-306-4036 www.axelacare.com
Option Care 1-866-827-8203 www.optioncare.com
Transportation - Fixed-Wing Air Ambulance
AirCARE1 International 1-877-760-7760
www.airambulanceone.com
AMR Air Ambulance 1-800-424-7060 www.amr-airambulance.com
Castle International See website www.castlemedflight.com
Medway Air Ambulance 1-800-233-0655
www.medwayairambulance.com
Urgent Care - Urgent care services
MedExpress Urgent Care See website www.medexpress.com
Vaccine Program - Influenza (Trivalent, Quadrivalent, High Dose,
Intradermal), Pneumonia,Zostavax, Tdap, Meningococcal, Hepatitis B,
HPV , MMR, MMRV, Varicella, Hepatitis A/B combo.TDAP (Tetanus,
Diphtheria & Pertussis), Shingles (Zostavax), Meningitis, HPV,
and Hepatitis B (age15 and up). Worksite Clinics and Retail
locations
Albertsons (d/b/aAlbertsons Sav-on,Albertsons Osco)
1-877-276-9637 www.albertsons.com/pharmacy/immunizations/
CVS Pharmacy (d/b/a CVSPharmacy, Longs Drug,CarePlus
Pharmacy)
1-888-358-7468
www.cvs.com/promo/promoLandingTemplate.jsp?promoLandingId=get-vaccinated
Harris Teeter See website
www.harristeeter.com/in_our_stores/departments/pharmacy/flu_shots/details.aspx
H-E-B 1-210-938-8357
www.heb.com/pharmacy/services/immunizations.jsp
Kmart Pharmacy 1-800-349-0764 www.pharmacy.kmart.com
Meijer Pharmacy 1-877-363-4537 www.meijer.com/pharmacy
New Albertsons d/b/a AcmeSav-on, Jewel-Osco, StarMarkets, Shaws
Osco,Safeway
1-877-276-9637 www.acmemarkets.com/pharmacy/immunizations/
Publix Pharamcy 1-800-242-1227
www.publix.com/pharmacy-wellness/pharmacy/preventive-care/vaccinations
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Provider(s) Phone Number WebSite
Rite Aid Pharmacy 1-800-RITEAID / 1-800-748-3243
www.riteaid.com
Safeway, Inc. (d/b/aSafeway, Carrs, Pak'N Save,Pavilions,
Randalls, TomThumb, Vons)
1-877-723-3929 www.safeway.com/shopstores/pharmacy
ShopKo Pharmacy 1-800-791-7333
http://pharmacy.shopko.com/flushots
The Kroger Co. (d/b/a FredMeyer, Smiths Food & DrugCenter,
Ralphs Grocery,Dillons, Tom Thumb, KwikShop, Frys, King Soopers,Jay
C, QFC, Bakers, CityMarket, Owens, Payless,Gerbes, Roundy's,
Copps,Mariano's, Metro Market,Pick 'N Save)
See website
www.kroger.com/topic/pharmacy/#/vaccinations-made-easy
United Supermarkets (d/b/aUnited Supermarket,Albertsons Market,
Amigos,Market Street)
1-877-276-9637 www.unitedsupermarkets.com
Walmart Stores Inc. (d/b/aWalmart and Sams Club)
See website www.walmart.com
Vaccine Program - Influenza (Trivalent, Quadrivalent, High Dose,
Intradermal), Pneumonia,Zostavax, Tdap, Meningococcal, Hepatitis B,
TDAP (Tetanus, Diphtheria & Pertussis), Shingles(Zostavax),
Meningitis, and Hepatitis B (age 18 and up). Worksite Clinics and
Retail locations
Walgreens Immunization(d/b/a Walgreens, DuaneReade)
1-800-925-4733
https://www.walgreens.com/pharmacy/immunization
DME - DURABLE MEDICAL EQUIPMENT is certain medical equipment
that is ordered by yourdoctor for use at home. DME includes but is
not limited to: wheelchairs, crutches, hospital bed, IVinfusion
pump, oxygen equipment, nebulizer, and walker.HOME HEALTH/HOME
INFUSION CARE can either be a licensed facility or medical
personnel thatcan provide health care services in the home.
Services include but are not limited to nursing visits forinfusion
services or wound care.LABORATORY means diagnostic testing
including routine blood and urine analysis, anatomicpathology,
surgical pathology, and specialty or esoteric services.SPECIALTY
PHARMACY PROVIDER provides specific drug products directly to
customers orphysicians.WOMEN'S HEALTH is limited to home uterine
monitoring services.
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NOTE: We only cover blood glucose monitors and test strips from
the following brands: OneTouchUltra2 , OneTouch UltraMini, OneTouch
Verio, OneTouch Verio IQ, OneTouch Verio Flex,ACCU-CHEK Nano
SmartView, ACCU-CHEK Aviva Plus, ACCU-CHEK Guide, and ACCUCHEKAviva
Connect. Other brands are not covered by our plan.
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Arizona
Apache
Family Practice
*Accomando, Elaine M, PA8, FProvider #001741697002NPI #:
1033189444625 13th St WSaint Johns, AZ 85936(928) 337-3705Provider
Language(s): Navajo,SpanishHours: M 8:00AM-5:00PMTU-F
8:00AM-6:00PMHospital Affiliations: FlagstaffMedical
Center*Accomando, Elaine M, PA8, FProvider #001741697014NPI #:
1033189444488 S Mountain AveSpringerville, AZ 85938(928)
333-0127Provider Language(s): Navajo,SpanishHours: M-F
8:00AM-5:00PMHospital Affiliations: FlagstaffMedical Center*Bansal,
Shipra, MD3,8, FProvider #002952075008NPI #: 1578755781625 13th St
WSaint Johns, AZ 85936(928) 337-3705Provider Language(s):
SpanishHours: M-F 7:00AM-6:00PMHospital Affiliations:
FlagstaffMedical Center
*Bansal, Shipra, MD3,8, FProvider #002952075012NPI #:
1578755781488 S Mountain AveSpringerville, AZ 85938(928)
333-0127Provider Language(s): SpanishHours: M-F
7:30AM-6:30PMHospital Affiliations: FlagstaffMedical Center*Knecht,
Richard D, MD3,8, MProvider #001096613004NPI #: 1598814261625 13th
St WSaint Johns, AZ 85936(928) 337-3705Provider Language(s):
SpanishHours: M-F 8:00AM-5:00PMHospital Affiliations: MoabRegional
Hospital, MontroseMemorial Hospital*Knecht, Richard D, MD3,8,
MProvider #001096613014NPI #: 1598814261488 S Mountain
AveSpringerville, AZ 85938(928) 333-0127Provider Language(s):
SpanishHours: M-F 8:00AM-5:00PMHospital Affiliations: MoabRegional
Hospital, MontroseMemorial Hospital*Knecht, Richard D, MD3,8,
MProvider #001096613017NPI #: 1598814261470 W Cleveland StSaint
Johns, AZ 85936(928) 337-4301Provider Language(s): SpanishHours:
M-F 8:00AM-5:00PMHospital Affiliations: MoabRegional Hospital,
MontroseMemorial Hospital
*Mugo, Patti W, MD3,8, FProvider #005694414004NPI #:
1013272988625 13th St WSaint Johns, AZ 85936(928) 337-3705Hours:
M-F 8:00AM-5:00PM*Mugo, Patti W, MD3,8, FProvider #005694414015NPI
#: 1013272988488 S Mountain AveSpringerville, AZ 85938(928)
333-0127Hours: M-F 8:00AM-5:00PM*Mugo, Patti W, MD3,8, FProvider
#005694414017NPI #: 1013272988470 W Cleveland StSaint Johns, AZ
85936(928) 337-4301Hours: M-F 8:00AM-5:00PM*Parker, Ronald D,
MD3,8, MProvider #002755614011NPI #: 1285798405323 S Mountain Ave
Ste 102Springerville, AZ 85938(928) 333-2415Provider Language(s):
JapaneseHours: M-F 8:00AM-5:00PMHospital Affiliations:
HavasuRegional Medical Center, La PazRegional Hospital
15
Arizona - Apache
*Accepts Medicaid. 1 Closed to new enrollment. 2 Accepting
existing patients only. 3 Board Certified. 4Practice Limitations. 8
Handicap Accessible. 9 Cultural Competency Training.
Please call the providers office to confirm the providers
enrollment availability and participation in theMedicaid
program.
Primary Care Providers
Prim
ary Care Providers
-
*Sielski, James A, DO3,8, MProvider #002307367003NPI #:
1124001375118 S Mountain AveSpringerville, AZ 85938(928)
333-0562Provider Language(s): Navajo,SpanishHours: M-F
8:00AM-5:00PMHospital Affiliations: FlagstaffMedical Center, White
MountainRegional Med Center*Sielski, James A, DO3,8, MProvider
#002307367011NPI #: 1124001375625 13th St WSaint Johns, AZ
85936(928) 337-3705Provider Language(s): Navajo,SpanishHours: M-F
8:00AM-6:00PMHospital Affiliations: FlagstaffMedical Center, White
MountainRegional Med Center*Wilson, Sean P, MD3,8, MProvider
#002447063001NPI #: 1184615650830 E Main St Unit 110Springerville,
AZ 85938(928) 333-4041Provider Language(s): SpanishHours: M-F
8:00AM-5:00PMHospital Affiliations: WhiteMountain Regional Med
Center
*Wilson, Sean P, MD3,8, MProvider #002447063008NPI #:
11846156501200 W Cleveland St Ste 6Saint Johns, AZ 85936(928)
337-3125Provider Language(s): SpanishHours: M 8:00AM-5:00PMTU
8:00AM-1:00PMW-F 8:00AM-5:00PMHospital Affiliations: WhiteMountain
Regional Med Center*Yoder, Paul T, MD3,8, MProvider
#001769024050NPI #: 1780779991470 W Cleveland StSaint Johns, AZ
85936(928) 337-4301Hours: M-F 8:00AM-5:00PMHospital Affiliations:
MemorialHospital Of South Bend, YavapaiRegional Medical Center
West*Yoder, Paul T, MD3,8, MProvider #001769024056NPI #:
1780779991625 13th St WSaint Johns, AZ 85936(928) 337-3705Hours:
M-F 8:00AM-5:00PMHospital Affiliations: MemorialHospital Of South
Bend, YavapaiRegional Medical Center West*Yoder, Paul T, MD3,8,
MProvider #001769024062NPI #: 1780779991488 S Mountain
AveSpringerville, AZ 85938(928) 333-0127Hours: M-F
8:00AM-5:00PMHospital Affiliations: MemorialHospital Of South Bend,
YavapaiRegional Medical Center West
Federal Qualified Health CareAgency
*North Country Hc-13th1,8Provider #005354427001NPI #:
1689799827625 13th St WSaint Johns, AZ 85936(928) 337-3705Hours:
M-F 8:00AM-5:00PM*North Country Hc-clevelan1,8Provider
#005354498001NPI #: 1407195589470 W Cleveland StSaint Johns, AZ
85936(928) 337-4301Hours: M-F 8:00AM-5:00PM*North Country
Health-round1,8Provider #005354495001NPI #: 1790809879488 S
Mountain AveSpringerville, AZ 85938(928) 333-0127Hours: M-F
8:00AM-5:00PM
Internal Medicine
*Abbott, Brandon H, DO3,8, MProvider #005455599013NPI #:
1528350139488 S Mountain AveSpringerville, AZ 85938(928)
333-0127Hours: M-F 8:00AM-5:00PMHospital Affiliations:
FlagstaffMedical Center
16
Arizona - Apache
*Accepts Medicaid. 1 Closed to new enrollment. 2 Accepting
existing patients only. 3 Board Certified. 4Practice Limitations. 8
Handicap Accessible. 9 Cultural Competency Training.Please call the
providers office to confirm the providers enrollment availability
and participation in theMedicaid program.
Primary Care Providers
-
*Abbott, Brandon H, DO3,8, MProvider #005455599017NPI #:
1528350139625 13th St WSaint Johns, AZ 85936(928) 337-3705Hours:
M-F 8:00AM-5:00PMHospital Affiliations: FlagstaffMedical
Center*Hamblin, Scott R, MD1,3,8, MProvider #001877168002NPI #:
1972594620118 S Mountain AveSpringerville, AZ 85938(928)
333-4368Provider Language(s): JapaneseHours: M-F
8:00AM-5:00PMHospital Affiliations: FlagstaffMedical Center,
SummitRegional Medical Center, WhiteMountain Regional Med
Center*Hamblin, Scott R, MD3,8, MProvider #001877168003NPI #:
1972594620625 13th St WSaint Johns, AZ 85936(928) 337-3705Provider
Language(s): JapaneseHours: M-F 8:00AM-5:00PMHospital Affiliations:
FlagstaffMedical Center, SummitRegional Medical Center,
WhiteMountain Regional Med Center
*Hamblin, Scott R, MD3,8, MProvider #001877168004NPI #:
1972594620606 N Main StEagar, AZ 85925(928) 333-5333Provider
Language(s): JapaneseHours: M-TH 7:00AM-5:00PMF
8:00AM-12:00PMHospital Affiliations: FlagstaffMedical Center,
SummitRegional Medical Center, WhiteMountain Regional Med
Center*Jackson, Christine, MD3,8, FProvider #000015396003NPI #:
1861476889118 S Mountain AveSpringerville, AZ 85938(928)
333-0562Provider Language(s): French,SpanishHours: M-F
8:00AM-5:00PMHospital Affiliations: SummitRegional Medical Center,
WhiteMountain Regional Med Center*Martin, Cynthia E, MD1,3,8,
FProvider #002400013017NPI #: 1346290962488 S Mountain
AveSpringerville, AZ 85938(928) 333-0127Hours: M-F
8:00AM-5:00PMHospital Affiliations: FlagstaffMedical Center*Martin,
Cynthia E, MD1,3,8, FProvider #002400013020NPI #: 1346290962625
13th St WSaint Johns, AZ 85936(928) 337-3705Hours: M-F
8:00AM-5:00PMHospital Affiliations: FlagstaffMedical Center
*Newland, Anne M, MD1,3,8, FProvider #002411822009NPI #:
1336178912625 13th St WSaint Johns, AZ 85936(928) 337-3705Hours:
M-F 7:00AM-6:00PM*Raja, Rubina A, MD3,8, FProvider #003161436048NPI
#: 1811124530625 13th St WSaint Johns, AZ 85936(928)
337-3705Provider Language(s): Hindi,UrduHours: M-F
8:00AM-5:00PMHospital Affiliations: MountainVista Medical
Center*Raja, Rubina A, MD3,8, FProvider #003161436059NPI #:
1811124530488 S Mountain AveSpringerville, AZ 85938(928)
333-0127Provider Language(s): Hindi,UrduHours: M-F
8:00AM-5:00PMHospital Affiliations: MountainVista Medical
Center*Raja, Rubina A, MD3,8, FProvider #003161436062NPI #:
1811124530470 W Cleveland StSaint Johns, AZ 85936(928)
337-4301Provider Language(s): Hindi,UrduHours: M-F
8:00AM-5:00PMHospital Affiliations: MountainVista Medical
Center
17
Arizona - Apache
*Accepts Medicaid. 1 Closed to new enrollment. 2 Accepting
existing patients only. 3 Board Certified. 4Practice Limitations. 8
Handicap Accessible. 9 Cultural Competency Training.
Please call the providers office to confirm the providers
enrollment availability and participation in theMedicaid
program.
Primary Care Providers
Prim
ary Care Providers
-
Nurse Practitioner - FamilyPractice
*Florea, Kathleen S, NP8, FProvider #002930888008NPI #:
1275527764625 13th St WSaint Johns, AZ 85936(928) 337-3705Hours:
M-F 7:00AM-6:00PM*Florea, Kathleen S, NP8, FProvider
#002930888012NPI #: 1275527764488 S Mountain AveSpringerville, AZ
85938(928) 333-0127Hours: M-F 7:30AM-6:30PM*Stanley, Lisa A, NP8,
FProvider #005329393005NPI #: 1003213422625 13th St WSaint Johns,
AZ 85936(928) 337-3705Hours: M-F 8:00AM-5:00PMHospital
Affiliations: WesternArizona Regional Medical*Stanley, Lisa A, NP8,
FProvider #005329393016NPI #: 1003213422488 S Mountain
AveSpringerville, AZ 85938(928) 333-0127Hours: M-F
8:00AM-5:00PMHospital Affiliations: WesternArizona Regional
Medical
*Stanley, Lisa A, NP8, FProvider #005329393019NPI #:
1003213422470 W Cleveland StSaint Johns, AZ 85936(928)
337-4301Hours: M-F 8:00AM-5:00PMHospital Affiliations:
WesternArizona Regional Medical
Cochise
Family Practice
*Avina, Peggy M, MD8, FProvider #001765792001NPI #:
1558362145101 Cole AveBisbee, AZ 85603(520) 432-2042Provider
Language(s): SpanishHours: M-F 12:00AM-11:59PMHospital
Affiliations: CopperQueen Community Hospital*Avina, Peggy M, MD8,
FProvider #001765792004NPI #: 155836214510524 E Highway 92Hereford,
AZ 85615(520) 366-0300Provider Language(s): SpanishHours: M-F
8:00AM-5:00PMHospital Affiliations: CopperQueen Community
Hospital
*Bushman, Jeffery B, DO3,8, MProvider #000224145003NPI #:
1174603211900 W Scott StWillcox, AZ 85643(520) 384-4291Provider
Language(s): SpanishHours: M-TH 7:30AM-5:00PMF
7:30AM-3:00PMHospital Affiliations: Mt GrahamRegional Medical
Center,Northern Cochise CommunityHospital*Bushman, Jeffery B,
DO3,8, MProvider #000224145004NPI #: 1174603211225 N Frontage
RdPearce, AZ 85625(520) 826-1088Provider Language(s): SpanishHours:
M-F 8:00AM-5:00PMHospital Affiliations: Mt GrahamRegional Medical
Center,Northern Cochise CommunityHospital*Carnett, Mark C, DO3,8,
MProvider #001407492003NPI #: 13564028874990 E Mediterranean Dr Ste
ASierra Vista, AZ 85635(520) 439-4466Hours: M-TH 8:30AM-5:00PMF
8:30AM-3:30PMHospital Affiliations: CanyonVista Medical Center,
CopperQueen Community Hospital,Sierra Vista Regional
HealthCenter
18
Arizona - Cochise
*Accepts Medicaid. 1 Closed to new enrollment. 2 Accepting
existing patients only. 3 Board Certified. 4Practice Limitations. 8
Handicap Accessible. 9 Cultural Competency Training.Please call the
providers office to confirm the providers enrollment availability
and participation in theMedicaid program.
Primary Care Providers
-
*Crockett, Karen E, MD8, FProvider #002730535006NPI #:
1316009079108 Arizona StBisbee, AZ 85603(520) 364-1429Hours: M-F
8:00AM-5:00PMSA 9:00AM-1:00PM*Crockett, Karen E, MD8, FProvider
#002730535009NPI #: 13160090791100 F AveDouglas, AZ 85607(520)
364-3282Hours: M-F 8:00AM-5:00PMSA 9:00AM-1:00PM*Crockett, Karen E,
MD8, FProvider #002730535011NPI #: 13160090794525 Campus DrSierra
Vista, AZ 85635(520) 459-3011Hours: M-F 8:00AM-5:00PM*Crockett,
Karen E, MD8, FProvider #002730535014NPI #: 13160090794755 Campus
DrSierra Vista, AZ 85635(520) 459-3011Hours: M-F
8:00AM-5:00PM*Crockett, Karen E, MD8, FProvider #002730535015NPI #:
1316009079815 E 15th StDouglas, AZ 85607(520) 364-5437Hours: M-TH
7:00AM-7:00PMF 7:00AM-5:00PMSA 9:00AM-1:00PM
*Crockett, Karen E, MD8, FProvider #002730535016NPI #:
131600907910566 N Highway 191Elfrida, AZ 85610(520) 642-2222Hours:
M-F 8:00AM-5:00PM*Crockett, Karen E, MD8, FProvider
#002730535017NPI #: 1316009079155 Calle Portal Ste 700Sierra Vista,
AZ 85635(520) 459-3011Hours: M-F 8:00AM-5:00PM*Dorado, Sean Paul R,
PA1,8, MProvider #002501438002NPI #: 1881645596300 S Ocotillo
AveBenson, AZ 85602(520) 586-9111Provider Language(s):
SpanishHours: M-F 8:00AM-5:00PMHospital Affiliations:
BensonHospital*Fabry, Elizabeth M, NP8, FProvider #002358095011NPI
#: 17806853704525 Campus DrSierra Vista, AZ 85635(520)
459-3011Provider Language(s): BurmeseHours: M-F
8:00AM-5:00PM*Fabry, Elizabeth M, NP8, FProvider #002358095016NPI
#: 1780685370108 Arizona StBisbee, AZ 85603(520) 432-3309Provider
Language(s): BurmeseHours: M-F 8:00AM-5:00PM
*Fabry, Elizabeth M, NP8, FProvider #002358095018NPI #:
17806853701100 F AveDouglas, AZ 85607(520) 364-3285Provider
Language(s): BurmeseHours: M-F 8:00AM-5:00PM*Fabry, Elizabeth M,
NP8, FProvider #002358095019NPI #: 1780685370815 E 15th StDouglas,
AZ 85607(520) 364-5437Provider Language(s): BurmeseHours: M-F
8:00AM-5:00PM*Garcia-mariscal, Gloria E, MD8,FProvider
#000171608001NPI #: 14179895911535 E 10th StDouglas, AZ 85607(520)
437-0329Provider Language(s): SpanishHours: M-F
8:00AM-5:00PMHospital Affiliations: CopperQueen Community
Hospital,Southeast Arizona MedicalCenter*Gray, Bianca F, DO3,8,
FProvider #005227763001NPI #: 137677925610524 E Highway 92Hereford,
AZ 85615(520) 366-0300Hours: M-F 8:00AM-5:00PMHospital
Affiliations: CopperQueen Community Hospital
19
Arizona - Cochise
*Accepts Medicaid. 1 Closed to new enrollment. 2 Accepting
existing patients only. 3 Board Certified. 4Practice Limitations. 8
Handicap Accessible. 9 Cultural Competency Training.
Please call the providers office to confirm the providers
enrollment availability and participation in theMedicaid
program.
Primary Care Providers
Prim
ary Care Providers
-
*Griesemer, Kathy E, PA8, FProvider #001928626001NPI #:
1639165822101 Cole AveBisbee, AZ 85603(520) 432-2042Hours: SU-SA
12:00AM-11:59PMHospital Affiliations: CopperQueen Community
Hospital*Johnson, Tonya, MD8, FProvider #005885690001NPI #:
1679825152108 Arizona StBisbee, AZ 85603(520) 432-3309Hours: M-F
7:00AM-6:00PMSA 9:00AM-3:00PM*Johnson, Tonya, MD8, FProvider
#005885690002NPI #: 16798251524755 Campus DrSierra Vista, AZ
85635(520) 459-3011Hours: M-F 8:00AM-5:00PM*Johnson, Tonya, MD8,
FProvider #005885690003NPI #: 1679825152155 Calle Portal Ste
700Sierra Vista, AZ 85635(520) 459-0203Hours: M-F
8:00AM-5:00PM*Johnson, Tonya, MD8, FProvider #005885690005NPI #:
16798251524525 Campus DrSierra Vista, AZ 85635(520) 459-3011Hours:
M-F 8:00AM-5:00PM
*Mayberry, Andrew W, MD3,8, MProvider #001626821005NPI #:
1629019260890 W 4th St Ste 3Benson, AZ 85602(520) 586-3486Hours:
M-F 8:00AM-5:00PMHospital Affiliations: BannerUniversity Med Center
SouthCampus, Benson Hospital,Tucson Medical Center*Mayberry, Ralph
E, MD1,3,8, MProvider #000264710001NPI #: 10634874861800 E Wilcox
DrSierra Vista, AZ 85635(520) 459-3116Provider Language(s):
SpanishHours: M-F 8:00AM-5:00PMHospital Affiliations: CanyonVista
Medical Center, SierraVista Regional Health Center*Miles, Brian L,
MD8, MProvider #001079940001NPI #: 131694078610524 E Highway
92Hereford, AZ 85615(520) 366-0300Hours: M-F 8:00AM-5:00PMHospital
Affiliations: CommunityHospital South, Franciscan StFrancis Health
Beech Grove,Indiana University HealthBloomington Hospital
*Miles, Brian, MD8, MProvider #001079940002NPI #: 1316940786100
E 5th StDouglas, AZ 85607(520) 364-7659Hours: M-F
8:00AM-5:00PMHospital Affiliations: CommunityHospital South,
Franciscan StFrancis Health Beech Grove,Indiana University
HealthBloomington Hospital*Miles, Brian, MD8, MProvider
#001079940003NPI #: 1316940786101 Cole AveBisbee, AZ 85603(520)
432-2042Hours: M-F 8:00AM-5:00PMHospital Affiliations:
CommunityHospital South, Franciscan StFrancis Health Beech
Grove,Indiana University HealthBloomington Hospital*Parker, Ronald
D, MD3,8, MProvider #002755614009NPI #: 12857984051415 W Melody Ln
Bldg ABisbee, AZ 85603(520) 432-9482Provider Language(s):
JapaneseHours: M-F 8:00AM-5:00PMHospital Affiliations:
HavasuRegional Medical Center, La PazRegional Hospital
20
Arizona - Cochise
*Accepts Medicaid. 1 Closed to new enrollment. 2 Accepting
existing patients only. 3 Board Certified. 4Practice Limitations. 8
Handicap Accessible. 9 Cultural Competency Training.Please call the
providers office to confirm the providers enrollment availability
and participation in theMedicaid program.
Primary Care Providers
-
*Patel, Parag R, MD3,8, MProvider #002847503007NPI #:
1215121512126 S Coronado Dr Ste BSierra Vista, AZ 85635(520)
439-0115Provider Language(s): Gujarati,Hindi, UrduHours: M-TH
8:00AM-5:00PMF 8:00AM-12:00PMHospital Affiliations: CanyonVista
Medical Center, SierraVista Regional Health Center*Patterson,
Joseph W, MD3,8, MProvider #000265350003NPI #: 1477506277101 Cole
AveBisbee, AZ 85603(520) 432-5082Hours: M-F 8:00AM-5:00PMHospital
Affiliations: CanyonVista Medical Center, CopperQueen Community
Hospital,Sierra Vista Regional HealthCenter*Patterson, Joseph W,
MD3,8, MProvider #000265350004NPI #: 1477506277100 E 5th StDouglas,
AZ 85607(520) 364-7659Hours: M-F 8:00AM-5:00PMHospital
Affiliations: CanyonVista Medical Center, CopperQueen Community
Hospital,Sierra Vista Regional HealthCenter
*Patterson, Joseph W, MD3,8, MProvider #000265350005NPI #:
147750627710524 E Highway 92Hereford, AZ 85615(520) 364-7659Hours:
M-F 8:00AM-5:00PMHospital Affiliations: CanyonVista Medical Center,
CopperQueen Community Hospital,Sierra Vista Regional
HealthCenter*Polanco, Prido M, MD8, MProvider #000782032002NPI #:
1710973698100 E 5th StDouglas, AZ 85607(520) 364-7659Hours: M-F
8:00AM-5:00PMHospital Affiliations: CopperQueen Community
Hospital*Polanco, Prido M, MD8, MProvider #000782032004NPI #:
171097369810524 E Highway 92Hereford, AZ 85615(520) 364-7659Hours:
M-F 8:00AM-5:00PMHospital Affiliations: CopperQueen Community
Hospital*Polanco, Prido-martinez M,MD8, MProvider #000782032001NPI
#: 1710973698101 Cole AveBisbee, AZ 85603(520) 432-2042Hours: M-F
8:00AM-5:00PMHospital Affiliations: CopperQueen Community
Hospital
*Romo, Jose H, MD8, MProvider #000965647001NPI #: 1043206394101
Cole AveBisbee, AZ 85603(520) 432-2042Provider Language(s):
SpanishHours: M-F 8:00AM-5:00PMHospital Affiliations: CopperQueen
Community Hospital*Romo, Jose H, MD8, MProvider #000965647002NPI #:
1043206394100 E 5th St Unit 1215Douglas, AZ 85607(520)
364-7659Provider Language(s): SpanishHours: M-F
8:00AM-5:00PMHospital Affiliations: CopperQueen Community
Hospital*Safavi, Hadi, DO8, MProvider #005494504001NPI #:
1508124686155 Calle Portal Ste 300Sierra Vista, AZ 85635(520)
364-1429Hours: M-TH 7:00AM-7:00PMF 7:00AM-5:00PMSA
9:00AM-3:00PM*Safavi, Hadi, DO8, MProvider #005494504002NPI #:
1508124686108 Arizona StBisbee, AZ 85603(520) 432-3309Hours: M-F
8:00AM-5:00PM*Safavi, Hadi, DO8, MProvider #005494504005NPI #:
15081246861100 F AveDouglas, AZ 85607(520) 364-3285Hours: M-F
8:00AM-5:00PM
21
Arizona - Cochise
*Accepts Medicaid. 1 Closed to new enrollment. 2 Accepting
existing patients only. 3 Board Certified. 4Practice Limitations. 8
Handicap Accessible. 9 Cultural Competency Training.
Please call the providers office to confirm the providers
enrollment availability and participation in theMedicaid
program.
Primary Care Providers
Prim
ary Care Providers
-
*Safavi, Hadi, DO8, MProvider #005494504006NPI #: 15081246864525
Campus DrSierra Vista, AZ 85635(520) 459-3011Hours: M-F
8:00AM-5:00PM*Safavi, Hadi, DO8, MProvider #005494504008NPI #:
1508124686815 E 15th StDouglas, AZ 85607(520) 364-3285Hours: M-F
8:00AM-5:00PM*Safavi, Hadi, DO8, MProvider #005494504014NPI #:
15081246864755 Campus DrSierra Vista, AZ 85635(520) 459-3011Hours:
M-F 8:00AM-5:00PM*Thomas, Laurie A, MD3,8, FProvider
#001757402019NPI #: 1730399353101 Cole AveBisbee, AZ 85603(520)
432-2042Hours: M-F 8:00AM-5:00PMHospital Affiliations:
BannerUniversity Med Center TucsonCampus, El Dorado Hospital,
StJoseph's Hospital, TucsonMedical Center, UniversityMedical
Center
*Thomas, Laurie A, MD3,8, FProvider #001757402020NPI #:
173039935310524 E Highway 92Hereford, AZ 85615(520) 364-7659Hours:
M-F 8:00AM-5:00PMHospital Affiliations: BannerUniversity Med Center
TucsonCampus, El Dorado Hospital, StJoseph's Hospital,
TucsonMedical Center, UniversityMedical Center*Wilde, Jeffrey V,
MD3,8, MProvider #003116433002NPI #: 1073703310286 S Lenzner
AveSierra Vista, AZ 85635(520) 452-0379Hours: M-TH 7:00AM-4:30PMF
7:00AM-3:00PMHospital Affiliations: CanyonVista Medical Center,
DeltaCommunity Hospital, FillmoreCommunity Hospital, HeberValley
Hospital, Sanpete ValleyHospital, Sevier Valley Hospital,Sierra
Vista Regional HealthCenter, Utah Valley Hospital*Wu, Alfred P,
MD8, MProvider #000896440001NPI #: 15583860031906 E 11th StDouglas,
AZ 85607(520) 364-1120Provider Language(s): Chinese,SpanishHours:
M-F 8:00AM-5:00PMHospital Affiliations: CochiseRegional Hospital,
CopperQueen Community Hospital,Southeast Arizona MedicalCenter
Federal Qualified Health CareAgency
*15th Street Pediatric Center1,8Provider #005394421001NPI #:
1174820898815 E 15th StDouglas, AZ 85607(520) 364-5437Hours: SU
9:00AM-1:00PMM-TH 7:00AM-7:00PMF 7:00AM-5:00PMSA
9:00AM-3:00PM*Chiricahua Community Hc-bisbee1,8Provider
#005394508001NPI #: 1063540144108 Arizona StBisbee, AZ 85603(520)
364-3285Hours: M-F 8:00AM-5:00PM*Chiricahua Community
Hc-jennif1,8Provider #005394489001NPI #: 18018219701100 F
AveDouglas, AZ 85607(520) 364-1429Hours: M-F
8:00AM-5:00PM*Chiricahua Community Hc-sierra 3001,8Provider
#005394478001NPI #: 14173317114525 Campus DrSierra Vista, AZ
85635(520) 459-3011Hours: M-F 8:00AM-5:00PM
22
Arizona - Cochise
*Accepts Medicaid. 1 Closed to new enrollment. 2 Accepting
existing patients only. 3 Board Certified. 4Practice Limitations. 8
Handicap Accessible. 9 Cultural Competency Training.Please call the
providers office to confirm the providers enrollment availability
and participation in theMedicaid program.
Primary Care Providers
-
*Chiricahua Community Hc-vista1,8Provider #005394466001NPI #:
18213090891590 Paseo San LuisSierra Vista, AZ 85635(520)
459-0203Hours: M-F 8:00AM-5:00PM*Chiricahua Community
HealthCenters8Provider #006536900001NPI #: 14871751624755 Campus
DrSierra Vista, AZ 85635(520) 459-3011Hours: M-F
8:00AM-5:00PM*Chiricahua Community HealthCenters8Provider
#006536900002NPI #: 1174820898815 E 15th StDouglas, AZ 85607(520)
364-5437Hours: M-F 8:00AM-5:00PM
General Practice
*Clark, Amy C, DO8, FProvider #005116257010NPI #: 1649595174108
Arizona StBisbee, AZ 85603(520) 432-3309Hours: M-F
8:00AM-5:00PM*Clark, Amy C, DO8, FProvider #005116257012NPI #:
16495951741100 F AveDouglas, AZ 85607(520) 364-3285Hours: M-F
8:00AM-5:00PM
*Clark, Amy C, DO8, FProvider #005116257013NPI #: 1649595174815
E 15th StDouglas, AZ 85607(520) 364-5437Hours: M-F
8:00AM-5:00PM*Clark, Amy C, DO8, FProvider #005116257014NPI #:
16495951744755 Campus DrSierra Vista, AZ 85635(520) 459-3011Hours:
M-F 8:00AM-5:00PM*Clark, Amy C, DO8, FProvider #005116257015NPI #:
1649595174155 Calle Portal Ste 300Sierra Vista, AZ 85635(520)
459-3011Hours: M-F 7:00AM-5:00PM*Garcia-mariscal, Gloria E,
MD8,FProvider #000171608001NPI #: 14179895911535 E 10th StDouglas,
AZ 85607(520) 437-0329Provider Language(s): SpanishHours: M-F
8:00AM-5:00PMHospital Affiliations: CopperQueen Community
Hospital,Southeast Arizona MedicalCenter*Polanco, Prido M, MD8,
MProvider #000782032002NPI #: 1710973698100 E 5th StDouglas, AZ
85607(520) 364-7659Hours: M-F 8:00AM-5:00PMHospital Affiliations:
CopperQueen Community Hospital
*Polanco, Prido M, MD8, MProvider #000782032004NPI #:
171097369810524 E Highway 92Hereford, AZ 85615(520) 364-7659Hours:
M-F 8:00AM-5:00PMHospital Affiliations: CopperQueen Community
Hospital*Polanco, Prido-martinez M,MD8, MProvider #000782032001NPI
#: 1710973698101 Cole AveBisbee, AZ 85603(520) 432-2042Hours: M-F
8:00AM-5:00PMHospital Affiliations: CopperQueen Community
Hospital*Romo, Jose H, MD8, MProvider #000965647001NPI #:
1043206394101 Cole AveBisbee, AZ 85603(520) 432-2042Provider
Language(s): SpanishHours: M-F 8:00AM-5:00PMHospital Affiliations:
CopperQueen Community Hospital*Romo, Jose H, MD8, MProvider
#000965647002NPI #: 1043206394100 E 5th St Unit 1215Douglas, AZ
85607(520) 364-7659Provider Language(s): SpanishHours: M-F
8:00AM-5:00PMHospital Affiliations: CopperQueen Community
Hospital
23
Arizona - Cochise
*Accepts Medicaid. 1 Closed to new enrollment. 2 Accepting
existing patients only. 3 Board Certified. 4Practice Limitations. 8
Handicap Accessible. 9 Cultural Competency Training.
Please call the providers office to confirm the providers
enrollment availability and participation in theMedicaid
program.
Primary Care Providers
Prim
ary Care Providers
-
*Singer, Ezra R, MD8, MProvider #000949973003NPI #:
1932159399900 W Scott StWillcox, AZ 85643(520) 384-4421Hours: M-F
8:00AM-5:00PMHospital Affiliations: NorthernCochise Community
Hospital
Internal Medicine
*Bansal, Archana, MD3,8, MProvider #002669311001NPI #:
1881663615157 N Coronado Dr Ste CSierra Vista, AZ 85635(520)
458-0993Hours: M-TH 8:00AM-5:00PMF 8:00AM-1:00PMSA
9:00AM-1:00PMHospital Affiliations: CanyonVista Medical Center,
SierraVista Regional Health Center*Bosah, Augustine O, MD3,8,
MProvider #002999561001NPI #: 15887941921939 Frontage Rd Ste
GSierra Vista, AZ 85635(520) 335-6204Hours: M 8:00AM-5:00PMTU-W
8:00AM-1:00PMTH-SA 9:00AM-5:00PMHospital Affiliations: ClovisPlains
Regional Med Ct*Garcia Suero, Luis E, MD8, MProvider
#006169624002NPI #: 15789964681100 F AveDouglas, AZ 85607(520)
364-3285Hours: M-F 7:00AM-7:00PM
*Garcia Suero, Luis E, MD8, MProvider #006169624003NPI #:
15789964684525 Campus DrSierra Vista, AZ 85635(520) 459-3011Hours:
M-F 8:00AM-5:00PM*Garcia Suero, Luis E, MD8, MProvider
#006169624004NPI #: 1578996468815 E 15th StDouglas, AZ 85607(520)
364-5437Hours: M-F 8:00AM-5:00PM*Garcia Suero, Luis E, MD8,
MProvider #006169624006NPI #: 15789964684755 Campus DrSierra Vista,
AZ 85635(520) 459-3011Hours: M-F 8:00AM-5:00PM*Gil, Maryslenni,
MD8, FProvider #006197216001NPI #: 12759656831100 F AveDouglas, AZ
85607(520) 364-3285Provider Language(s): SpanishHours: M-F
7:00AM-7:00PM*Gil, Maryslenni, MD8, FProvider #006197216002NPI #:
12759656834755 Campus DrSierra Vista, AZ 85635(520)
459-3011Provider Language(s): SpanishHours: M-F 8:00AM-5:00PM
*Gray, Michael R, MD1,8, MProvider #000382010001NPI #:
1639120520300 S Ocotillo AveBenson, AZ 85602(520) 586-9111Hours:
M-F 8:00AM-5:00PMHospital Affiliations: BensonHospital, Canyon
Vista MedicalCenter, Carondelet St MarysHospital, El Dorado
Hospital,Sierra Vista Regional HealthCenter, St Joseph's
Hospital,Tucson Medical Center*Harrison, Cassandra C,
MD3,8,FProvider #001318072013NPI #: 1992874606890 W 4th StBenson,
AZ 85602(520) 586-3664Hours: M-F 8:00AM-5:00PMHospital
Affiliations: BannerUniversity Med Center TucsonCampus, Baptist
Medical Center,Tucson Medical Center,University Medical
Center*Herrod, John N, MD1,8, MProvider #001306432001NPI #:
1821022484286 S Lenzner AveSierra Vista, AZ 85635(480)
609-9350Hours: M-TH 7:00AM-4:30PMF 7:00AM-3:00PMHospital
Affiliations: CanyonVista Medical Center, SierraVista Regional
Health Center
24
Arizona - Cochise
*Accepts Medicaid. 1 Closed to new enrollment. 2 Accepting
existing patients only. 3 Board Certified. 4Practice Limitations. 8
Handicap Accessible. 9 Cultural Competency Training.Please call the
providers office to confirm the providers enrollment availability
and participation in theMedicaid program.
Primary Care Providers
-
*Knapp, David J, MD1,8, MProvider #001321937001NPI #:
137673561375 Colonia De Salud Ste 200aSierra Vista, AZ 85635(520)
458-8145Hours: M-W 8:00AM-5:00PMTH 8:00AM-12:00PMF
8:00AM-5:00PMHospital Affiliations: CanyonVista Medical Center,
SierraVista Regional Health Center*Lesueur, Philip M, MD8,
MProvider #006401135001NPI #: 11941615051800 E Wilcox DrSierra
Vista, AZ 85635(520) 459-3116Hours: M-F 8:00AM-5:00PM*Lesueur,
Philip M, MD8, MProvider #006401135002NPI #: 11941615054524 E
Hereford RdHereford, AZ 85615(520) 459-3116Hours: M-F
8:00AM-5:00PM*Lodge, Heidi L, MD3,8, FProvider #001279000001NPI #:
1669426144101 Cole AveBisbee, AZ 85603(520) 432-5105Provider
Language(s): SpanishHours: M-F 8:00AM-5:00PMHospital Affiliations:
CopperQueen Community Hospital
*Lodge, Heidi L, MD3,8, FProvider #001279000002NPI #:
1669426144100 E 5th StDouglas, AZ 85607(520) 364-7659Provider
Language(s): SpanishHours: M-F 8:00AM-5:00PMHospital Affiliations:
CopperQueen Community Hospital*Lodge, Heidi L, MD3,8, FProvider
#001279000004NPI #: 166942614410524 E Highway 92Hereford, AZ
85615(520) 364-7659Provider Language(s): SpanishHours: M-F
8:00AM-5:00PMHospital Affiliations: CopperQueen Community
Hospital*McKenzie, Barry A, MD3,8, MProvider #001254401004NPI #:
19422862165151 E Highway 90Sierra Vista, AZ 85635(520)
803-6644Hours: M-F 8:00AM-5:00PMHospital Affiliations:
CarrisHealth-rice MemorialHospital(hospital, CentralWashington
Hospital, EasternMaine Medical Center, KingmanRegional Medical
Center,McKenzie Willamette MedicalCenter, Sacred Heart
UniversityDistrict, Samaritan LebanonCommunity Hospital,Wenatchee
Valley Hospital
*Molina, Robert A, MD3,8, MProvider #003581835006NPI #:
15888038375750 E Highway 90 Ste 200Sierra Vista, AZ 85635(520)
263-3500Provider Language(s): SpanishHours: M-F
8:00AM-5:00PM*Patel, Santsaran C, MD8, MProvider #001314306001NPI
#: 13169600161620 E Wilcox DrSierra Vista, AZ 85635(520)
458-1585Provider Language(s): Gujarati,HindiHours: M-F
7:30AM-5:00PMHospital Affiliations: CanyonVista Medical Center,
SierraVista Regional Health Center*Perez Gomez, Juan, MD3,8,
MProvider #006249677001NPI #: 1437582558108 Arizona StBisbee, AZ
85603(520) 432-3309Provider Language(s): SpanishHours: M-F
8:00AM-5:00PM*Perez Gomez, Juan, MD3,8, MProvider #006249677003NPI
#: 1437582558155 Calle Portal Ste 700Sierra Vista, AZ 85635(520)
459-0203Provider Language(s): SpanishHours: M-F 8:00AM-5:00PM
25
Arizona - Cochise
*Accepts Medicaid. 1 Closed to new enrollment. 2 Accepting
existing patients only. 3 Board Certified. 4Practice Limitations. 8
Handicap Accessible. 9 Cultural Competency Training.
Please call the providers office to confirm the providers
enrollment availability and participation in theMedicaid
program.
Primary Care Providers
Prim
ary Care Providers
-
*Perez Gomez, Juan, MD3,8, MProvider #006249677005NPI #:
14375825581100 F AveDouglas, AZ 85607(520) 364-3285Provider
Language(s): SpanishHours: M-F 7:00AM-7:00PM*Perez Gomez, Juan,
MD3,8, MProvider #006249677006NPI #: 1437582558815 E 15th
StDouglas, AZ 85607(520) 364-5437Provider Language(s):
SpanishHours: M-F 8:00AM-5:00PM*Perez Gomez, Juan, MD3,8, MProvider
#006249677007NPI #: 14375825584755 Campus DrSierra Vista, AZ
85635(520) 459-3011Provider Language(s): SpanishHours: M-F
8:00AM-5:00PM*Robertson, Glenn G, MD8, MProvider #002460615004NPI
#: 11745335091069 S Highway 80Benson, AZ 85602(520) 586-8948Hours:
M-F 9:00AM-5:00PMHospital Affiliations: BensonHospital, Northwest
MedicalCenter*Rodriguezkalaf, Ivan R, MD8, MProvider
#006169629007NPI #: 12052602211100 F AveDouglas, AZ 85607(520)
364-3285Hours: M-F 7:00AM-7:00PM
*Rodriguezkalaf, Ivan R, MD8, MProvider #006169629008NPI #:
12052602214755 Campus DrSierra Vista, AZ 85635(520) 459-3011Hours:
M-F 8:00AM-5:00PM*Sarsah, Benjamin K, MD8, MProvider
#002973084007NPI #: 1144483132450 S Ocotillo AveBenson, AZ
85602(520) 623-2642Provider Language(s): TwiHours: M-F
8:00AM-5:00PMHospital Affiliations: AbrazoArizona Heart Hospital,
AbrazoScottsdale Campus, BannerBaywood Medical Center,Kindred
Hospital ArizonaPhoenix*Sarsah, Benjamin K, MD8, MProvider
#002973084010NPI #: 1144483132900 W Scott StWillcox, AZ 85643(520)
327-6265Provider Language(s): TwiHours: M-F 8:00AM-5:00PMHospital
Affiliations: AbrazoArizona Heart Hospital, AbrazoScottsdale
Campus, BannerBaywood Medical Center,Kindred Hospital
ArizonaPhoenix
*Sarsah, Benjamin K, MD8, MProvider #002973084012NPI #:
114448313299 E 16th StDouglas, AZ 85607(520) 327-6265Provider
Language(s): TwiHours: M-F 8:00AM-5:00PMHospital Affiliations:
AbrazoArizona Heart Hospital, AbrazoScottsdale Campus,
BannerBaywood Medical Center,Kindred Hospital
ArizonaPhoenix*Sarsah, Benjamin K, MD8, MProvider #002973084016NPI
#: 11444831325750 E Highway 90 Ste 200Sierra Vista, AZ 85635(520)
327-6265Provider Language(s): TwiHours: M-F 8:00AM-5:00PMHospital
Affiliations: AbrazoArizona Heart Hospital, AbrazoScottsdale
Campus, BannerBaywood Medical Center,Kindred Hospital
ArizonaPhoenix*Serfino, Leonardo C, MD3,8, MProvider
#002258427001NPI #: 18311147431590 Paseo San Luis Ste 101Sierra
Vista, AZ 85635(520) 220-5711Hours: M-F 8:00AM-5:00PMHospital
Affiliations: CanyonVista Medical Center, SierraVista Regional
Health Center
26
Arizona - Cochise
*Accepts Medicaid. 1 Closed to new enrollment. 2 Accepting
existing patients only. 3 Board Certified. 4Practice Limitations. 8
Handicap Accessible. 9 Cultural Competency Training.Please call the
providers office to confirm the providers enrollment availability
and participation in theMedicaid program.
Primary Care Providers
-
*Smith, Jennifer, MD3,8, FProvider #006644922008NPI #:
136660193210566 N Highway 191Elfrida, AZ 85610(520) 642-2222Hours:
M-F 8:00AM-5:00PMHospital Affiliations: Dhhs PhsIhs Tucson Area Ihs
Tucson Sell*Smith, Jennifer, MD3,8, FProvider #006644922011NPI #:
13666019324755 Campus DrSierra Vista, AZ 85635(520) 459-3011Hours:
M-F 8:00AM-5:00PMHospital Affiliations: Dhhs PhsIhs Tucson Area Ihs
Tucson Sell*Smith, Jennifer, MD3,8, FProvider #006644922012NPI #:
13666019321100 F AveDouglas, AZ 85607(520) 364-3285Hours: M-F
8:00AM-5:00PMHospital Affiliations: Dhhs PhsIhs Tucson Area Ihs
Tucson Sell*Smith, Jennifer, MD3,8, FProvider #006644922013NPI #:
1366601932815 E 15th StDouglas, AZ 85607(250) 364-5437Hours: M-F
8:00AM-5:00PMHospital Affiliations: Dhhs PhsIhs Tucson Area Ihs
Tucson Sell
*Smith, Jennifer, MD3,8, FProvider #006644922014NPI #:
1366601932108 Arizona StBisbee, AZ 85603(520) 432-3309Hours: M-F
8:00AM-5:00PMHospital Affiliations: Dhhs PhsIhs Tucson Area Ihs
Tucson Sell*Tejero, Ana I, DO3,8, FProvider #003113022009NPI #:
1043422629101 Cole AveBisbee, AZ 85603(520) 432-6460Provider
Language(s): SpanishHours: M-F 8:00AM-5:00PMHospital Affiliations:
CopperQueen Community Hospital, SEGeorgia Health
System-camdenCampus*Tejero, Ana, DO3,8, FProvider #003113022008NPI
#: 1043422629100 5th StBisbee, AZ 85603(520) 364-7659Provider
Language(s): SpanishHours: M-F 8:00AM-5:00PMHospital Affiliations:
CopperQueen Community Hospital, SEGeorgia Health
System-camdenCampus
Nurse Practitioner - FamilyPractice
*Bayham-hicks, Shirley L, NP8, FProvider #002158759004NPI #:
11442169202305 E Wilcox DrSierra Vista, AZ 85635(423)
473-5867Hours: M-F 8:00AM-5:00PM
*Bayham-hicks, Shirley L, NP8, FProvider #002158759006NPI #:
1144216920660 S Coronado DrSierra Vista, AZ 85635(520)
439-0115Hours: M-F 8:00AM-5:00PM*Bayham-hicks, Shirley L, NP8,
FProvider #002158759007NPI #: 1144216920126 S Coronado Dr Ste
BSierra Vista, AZ 85635(520) 439-0115Hours: M-TH 8:00AM-5:00PMF
8:00AM-12:00PM*Chavez, Nicole M, NP8, FProvider #003002482002NPI #:
1437395092100 E 5th StDouglas, AZ 85607(520) 364-7659Hours: M-F
8:00AM-5:00PMHospital Affiliations: CopperQueen Community
Hospital*Hilton, Julie A, NP1,8, FProvider #002997241003NPI #:
1679721476801 W Rex Allen DrWillcox, AZ 85643(520) 766-5000Hours:
M-F 8:00AM-5:00PMHospital Affiliations: NorthernCochise Community
Hospital*Hron, Sherry E, NP8, FProvider #005199204001NPI #:
1285057117225 N Frontage RdPearce, AZ 85625(520) 826-1088Hours: M-F
8:00AM-5:00PMHospital Affiliations: NorthernCochise Community
Hospital
27
Arizona - Cochise
*Accepts Medicaid. 1 Closed to new enrollment. 2 Accepting
existing patients only. 3 Board Certified. 4Practice Limitations. 8
Handicap Accessible. 9 Cultural Competency Training.
Please call the providers office to confirm the providers
enrollment availability and participation in theMedicaid
program.
Primary Care Providers
Prim
ary Care Providers
-
*Hron, Sherry E, NP8, FProvider #005199204002NPI #:
1285057117900 W Scott StWillcox, AZ 85643(520) 384-4421Hours: M-F
8:00AM-5:00PMHospital Affiliations: NorthernCochise Community
Hospital
Rural Health Clinic
*Copper Queen Med-5th St1,8Provider #005376759001NPI #:
1942217088100 E 5th StDouglas, AZ 85607(520) 364-7659Hours: M-F
8:00AM-5:00PM*Copper Queen Med-cole1,8Provider #005376778001NPI #:
1508137209101 Cole AveBisbee, AZ 85603(520) 432-2042Hours: M-F
8:00AM-5:00PM*Palominas Hereford Rhc1,8Provider #005376786001NPI #:
122543810410524 E Highway 92Hereford, AZ 85615(520) 366-0300Hours:
M-F 8:00AM-5:00PM*Sulphur Springs MedicalCenter1,8Provider
#005372451001NPI #: 1427456706900 W Scott StWillcox, AZ 85643(520)
384-4421Hours: M-F 8:00AM-5:00PM
*Sunsites Medical Clinic1,8Provider #005372476001NPI #:
1437557642223 N Frontage RdPearce, AZ 85625(520) 826-1088Hours: M-F
8:00AM-5:00PM
Coconino
Family Practice
*Accomando, Elaine M, PA8, FProvider #001741697003NPI #:
10331894441 Clinic RdGrand Canyon, AZ 86023(928) 638-2551Provider
Language(s): Navajo,SpanishHours: M-F 8:00AM-5:00PMHospital
Affiliations: FlagstaffMedical Center*Accomando, Elaine M, PA8,
FProvider #001741697004NPI #: 1033189444301 S 7th StWilliams, AZ
86046(928) 635-4441Provider Language(s): Navajo,SpanishHours: M-F
8:00AM-5:00PMHospital Affiliations: FlagstaffMedical Center
*Accomando, Elaine M, PA8, FProvider #001741697010NPI #:
10331894442920 N 4th StFlagstaff, AZ 86004(928) 213-6100Provider
Language(s): Navajo,SpanishHours: M-F 8:00AM-5:00PMHospital
Affiliations: FlagstaffMedical Center*Alaishuski, Lindsay A, MD3,8,
FProvider #003237118001NPI #: 10838119541 Clinic RdGrand Canyon, AZ
86023(928) 638-2551Hours: M-F 8:00AM-5:00PMHospital Affiliations:
ProvidenceHospital*Bansal, Shipra, MD3,8, FProvider
#002952075001NPI #: 15787557812920 N 4th StFlagstaff, AZ 86004(928)
213-6100Provider Language(s): SpanishHours: M-TH 7:00AM-7:00PMF
7:00AM-6:00PMHospital Affiliations: FlagstaffMedical Center*Bansal,
Shipra, MD3,8, FProvider #002952075003NPI #: 15787557811 Clinic
RdGrand Canyon, AZ 86023(928) 638-2551Provider Language(s):
SpanishHours: M-F 8:00AM-6:00PMHospital Affiliations:
FlagstaffMedical Center
28
Arizona - Coconino
*Accepts Medicaid. 1 Closed to new enrollment. 2 Accepting
existing patients only. 3 Board Certified. 4Practice Limitations. 8
Handicap Accessible. 9 Cultural Competency Training.Please call the
providers office to confirm the providers enrollment availability
and participation in theMedicaid program.
Primary Care Providers
-
*Bansal, Shipra, MD3,8, FProvider #002952075004NPI #:
1578755781301 S 7th StWilliams, AZ 86046(928) 635-4441Provider
Language(s): SpanishHours: M-F 8:00AM-5:00PMHospital Affiliations:
FlagstaffMedical Center*Bansal, Shipra, MD3,8, FProvider
#002952075010NPI #: 15787557812187 N Vickey St Ste 2Flagstaff, AZ
86004(928) 714-5322Provider Language(s): SpanishHours: M-F
8:00AM-5:00PMHospital Affiliations: FlagstaffMedical Center*Bjork,
Janeen C, MD3,8, FProvider #002225622003NPI #: 1932103462440 N
Navajo DrPage, AZ 86040(928) 645-1700Provider Language(s):
SpanishHours: M-F 8:00AM-5:00PMSA 8:00AM-6:00PMHospital
Affiliations: BannerPage Hospital*Clarke, Patricia S, MD8,
FProvider #002082486001NPI #: 1073556379606 N Beaver StFlagstaff,
AZ 86001(928) 774-3373Hours: M-TH 9:00AM-5:00PMF 9:00AM-1:00PM
*Crane, Jesse M, DO8, MProvider #005099692001NPI #: 15485205051
Clinic RdGrand Canyon, AZ 86023(928) 638-2551Hours: M-F
8:00AM-5:00PMHospital Affiliations: Iu HealthWest Hospital*Crane,
Jesse M, DO8, MProvider #005099692003NPI #: 15485205052920 N 4th
StFlagstaff, AZ 86004(928) 213-6100Hours: M-TH 7:00AM-7:00PMF
7:00AM-6:00PMSA 8:00AM-5:00PMHospital Affiliations: Iu HealthWest
Hospital*Davis, Bethany A, MD8, FProvider #006085643001NPI #:
19820488562920 N 4th StFlagstaff, AZ 86004(928) 213-6100Hours: M-TH
7:00AM-7:00PMF 7:00AM-6:00PMSA 8:00AM-5:00PMHospital Affiliations:
FlagstaffMedical Center*Dekutoski, Shaun E, MD, MProvider
#000931515009NPI #: 18715487191515 E Cedar Ave Ste E-2Flagstaff, AZ
86004(928) 779-4550Hours: M-F 8:00AM-5:00PM
*Delawar, Nazir, MD3,8, MProvider #003069609001NPI #:
12555324871200 N Beaver StFlagstaff, AZ 86001(928) 214-2920Hours:
M-F 8:00AM-5:00PMHospital Affiliations: Avera StMarys Hospital,
Prairie LakesHealthcare System*Demangone, Michael J,
MD3,8,MProvider #001833936002NPI #: 1841294378463 S Lake Powell
BlvdPage, AZ 86040(508) 836-3663Hours: M-F 8:00AM-5:00PMHospital
Affiliations: BannerPage Hospital, Little ColoradoMedical
Center*Diehl, Kent A, MD3,8, MProvider #002456100008NPI #:
1194745133107 E Oak Ave Ste 201Flagstaff, AZ 86001(928)
913-8800Hours: M-F 8:00AM-5:00PMHospital Affiliations: Chi
StAlexius Health Bismarck, OroValley Hospital, Sanford
MedicalCenter
29
Arizona - Coconino
*Accepts Medicaid. 1 Closed to new enrollment. 2 Accepting
existing patients only. 3 Board Certified. 4Practice Limitations. 8
Handicap Accessible. 9 Cultural Competency Training.
Please call the providers office to confirm the providers
enrollment availability and participation in theMedicaid
program.
Primary Care Providers
Prim
ary Care Providers
-
*Dill, Jane E, MD3,8, FProvider #002388763001NPI #:
11544137632920 N 4th StFlagstaff, AZ 86004(928) 213-6100Provider
Language(s): SpanishHours: M-F 8:00AM-5:00PMHospital Affiliations:
BannerBoswell Medical Center, BannerUniversity Medical
CenterPhoenix Campus, FlagstaffMedical Center*Dill, Jane E, MD3,8,
FProvider #002388763005NPI #: 11544137631 Clinic RdGrand Canyon, AZ
86023(928) 638-2551Provider Language(s): SpanishHours: M-F
8:00AM-5:00PMHospital Affiliations: BannerBoswell Medical Center,
BannerUniversity Medical CenterPhoenix Campus, FlagstaffMedical
Center*Doroz, Michelle K, MD3, FProvider #002880995001NPI #:
1891825022710 N Beaver St Bldg 6Flagstaff, AZ 86001(928)
527-4325Hours: M-F 8:00AM-5:00PMHospital Affiliations:
FlagstaffMedical Center, SouthwestMemorial Hospital
*Doroz, Michelle K, MD3,8, FProvider #002880995004NPI #:
18918250221501 S Yale St Ste 150Flagstaff, AZ 86001(928)
527-4325Hours: M-F 8:00AM-5:00PMHospital Affiliations:
FlagstaffMedical Center, SouthwestMemorial Hospital*Foley, Dennis
J, MD3,8, MProvider #001937529003NPI #: 1194729632440 N Navajo
DrPage, AZ 86040(928) 645-1700Hours: M-SA 8:00AM-6:00PMHospital
Affiliations: BannerPage Hospital, Mary BridgeChild Hospital/health
Center,Tacoma General Allenmore*Gibula, Richard A, MD3,8, MProvider
#000674099005NPI #: 1376637611301 S 7th StWilliams, AZ 86046(928)
635-4441Hours: M-F 8:00AM-6:00PMHospital Affiliations:
FawcettMemorial Hospital, Verde ValleyMedical Center*Gilliam, John
S, MD8, MProvider #001739903024NPI #: 10038770851100 N San
Francisco St Ste EFlagstaff, AZ 86001(928) 774-3318Provider
Language(s): SpanishHours: M-F 8:00AM-5:00PM
*Henderson, Jennifer G, DO3,8, FProvider #004956707005NPI #:
19021238882000 S Thompson StFlagstaff, AZ 86001(928) 226-6400Hours:
M-F 8:00AM-5:00PM*Hershey, Lloyd G, DO8, MProvider #000322388002NPI
#: 13069003601500 E Cedar Ave Ste 26Flagstaff, AZ 86004(928)
773-1234Hours: M-F 8:00AM-6:00PMHospital Affiliations:
FlagstaffMedical Center*Hipkin, David, MD8, MProvider
#001012651036NPI #: 1538130109463 S Lake Powell BlvdPage, AZ
86040(928) 645-0945Hours: M-F 8:00AM-5:00PMHospital Affiliations:
BannerPage Hospital, North ColoradoMedical Center*Holsten, Raymond
L, MD3,8, MProvider #001701339002NPI #: 1003810540467 Vista
AvePage, AZ 86040(602) 645-8123Hours: M-F 8:00AM-6:00PMSA
8:00AM-12:00PMHospital Affiliations: BannerPage Hospital
30
Arizona - Coconino
*Accepts Medicaid. 1 Closed to new enrollment. 2 Accepting
existing patients only. 3 Board Certified. 4Practice Limitations. 8
Handicap Accessible. 9 Cultural Competency Training.Please call the
providers office to confirm the providers enrollment availability
and participation in theMedicaid program.
Primary Care Providers
-
*Holsten, Raymond L, MD3,8, MProvider #001701339005NPI #:
1003810540440 N Navajo DrPage, AZ 86040(928) 428-1500Hours: M-SA
8:00AM-6:00PMHospital Affiliations: BannerPage Hospital*Holsten,
Raymond L, MD3,8, MProvider #001701339009NPI #: 1003810540501 N
Navajo DrPage, AZ 86040(928) 645-0112Hours: M-F
8:00AM-5:00PMHospital Affiliations: BannerPage Hospital*Knecht,
Richard D, MD3,8, MProvider #001096613001NPI #: 15988142611 Clinic
RdGrand Canyon, AZ 86023(928) 233-5110Provider Language(s):
SpanishHours: M-F 8:00AM-5:00PMHospital Affiliations: MoabRegional
Hospital, MontroseMemorial Hospital*Knecht, Richard D, MD3,8,
MProvider #001096613005NPI #: 1598814261301 S 7th StWilliams, AZ
86046(928) 635-4441Provider Language(s): SpanishHours: M-F
8:00AM-5:00PMHospital Affiliations: MoabRegional Hospital,
MontroseMemorial Hospital
*Knecht, Richard D, MD3,8, MProvider #001096613011NPI #:
15988142612920 N 4th StFlagstaff, AZ 86004(928) 522-6400Provider
Language(s): SpanishHours: M-F 8:00AM-5:00PMHospital Affiliations:
MoabRegional Hospital, MontroseMemorial Hospital*Knecht, Richard D,
MD3,8, MProvider #001096613012NPI #: 15988142612187 N Vickey St Ste
2Flagstaff, AZ 86004(928) 527-1899Provider Language(s):
SpanishHours: M-F 8:00AM-5:00PMHospital Affiliations: MoabRegional
Hospital, MontroseMemorial Hospital*Knecht, Richard D, MD3,8,
MProvider #001096613018NPI #: 15988142611120 W University Ave Ste
101Flagstaff, AZ 86001(928) 522-1300Provider Language(s):
SpanishHours: M-F 8:00AM-5:00PMHospital Affiliations: MoabRegional
Hospital, MontroseMemorial Hospital*Lieder, Emily R, MD3,8,
FProvider #003609594001NPI #: 14970704292920 N 4th StFlagstaff, AZ
86004(928) 213-6100Hours: M-F 8:00AM-5:00PMHospital Affiliations:
FlagstaffMedical Center
*Martin, John A, MD3,8, MProvider #002400017003NPI #:
18816456461501 S Yale St Ste 150Flagstaff, AZ 86001(928)
527-4325Hours: M-F 8:00AM-5:00PMHospital Affiliations:
FlagstaffMedical Center*Martin, John A, MD3,8, MProvider
#002400017004NPI #: 1881645646710 N Beaver St Bldg 6Flagstaff, AZ
86001(928) 527-4325Hours: M-F 8:00AM-5:00PMHospital Affiliations:
FlagstaffMedical Center*Mogk, Neal W, MD3,8, MProvider
#000554137003NPI #: 1508919945107 E Oak Ave Ste 101Flagstaff, AZ
86001(928) 774-7345Hours: M-F 7:00AM-6:30PMSA 8:00AM-5:00PMHospital
Affiliations: FlagstaffMedical Center*Monroy, Carrie J, MD3,8,
FProvider #001924317001NPI #: 13462221063150 N Winding Brook
RdFlagstaff, AZ 86001(928) 556-0060Provider Language(s):
SpanishHours: M-F 8:00AM-5:00PMHospital Affiliations:
FlagstaffMedical Center
31
Arizona - Coconino
*Accepts Medicaid. 1 Closed to new enrollment. 2 Accepting
existing patients only. 3 Board Certified. 4Practice Limitations. 8
Handicap Accessible. 9 Cultural Competency Training.
Please call the providers office to confirm the providers
enrollment availability and participation in theMedicaid
program.
Primary Care Providers
Prim
ary Care Providers
-
*Mugo, Patti W, MD3,8, FProvider #005694414005NPI #: 10132729881
Clinic RdGrand Canyon, AZ 86023(928) 522-6400Hours: M-F
8:00AM-5:00PM*Mugo, Patti W, MD3,8, FProvider #005694414006NPI #:
1013272988301 S 7th StWilliams, AZ 86046(928) 635-4441Hours: M-F
8:00AM-5:00PM*Mugo, Patti W, MD3,8, FProvider #005694414012NPI #:
10132729882920 N 4th StFlagstaff, AZ 86004(928) 522-6400Hours: M-F
8:00AM-5:00PM*Mugo, Patti W, MD3,8, FProvider #005694414013NPI #:
10132729882187 N Vickey St Ste 2Flagstaff, AZ 86004(928)
527-1899Hours: M-F 8:00AM-5:00PM*Mugo, Patti W, MD3,8, FProvider
#005694414018NPI #: 10132729881120 W University Ave Ste
101Flagstaff, AZ 86001(928) 522-1300Hours: M-F 8:00AM-5:00PM
*Myers, Thomas M, MD8, MProvider #001624453001NPI #: 10533851531
Clinic RdGrand Canyon, AZ 86023(928) 522-9600Provider Language(s):
German,SpanishHours: SU-SA 7:00AM-6:00PMHospital Affiliations:
FlagstaffMedical Center*Myers, Thomas M, MD8, MProvider
#001624453002NPI #: 1053385153301 S 7th StWilliams, AZ 86046(520)
635-4441Provider Language(s): German,SpanishHours: M-F
8:00AM-5:00PMHospital Affiliations: FlagstaffMedical Center*Myers,
Thomas M, MD8, MProvider #001624453005NPI #: 10533851532920 N 4th
StFlagstaff, AZ 86004(928) 213-6100Provider Language(s):
German,SpanishHours: M-F 8:00AM-5:00PMHospital Affiliations:
FlagstaffMedical Center
*O'donnell, Meghan R, MD1,3, FProvider #002928833001NPI #:
1659323186710 N Beaver St Bldg 6Flagstaff, AZ 86001(928)
527-4325Hours: M-TU 8:00AM-5:00PMW 8:00AM-12:00PMTH-F
8:00AM-2:00PMHospital Affiliations: FlagstaffMedical
Center*O'donnell, Meghan R, MD1,3,8, FProvider #002928833003NPI #:
16593231861501 S Yale St Bldg 2-150Flagstaff, AZ 86001(928)
527-4325Hours: M-F 8:00AM-5:00PMHospital Affiliations:
FlagstaffMedical Center*Porvaznik, Mary C, MD3,8, FProvider
#003046661001NPI #: 1871582635107 E Oak Ave Ste 201Flagstaff, AZ
86001(928) 213-8800Hours: M-F 7:00AM-6:30PMSA
8:00AM-5:00PM*Schraudenbach, Cooper C,MD3,8, MProvider
#003444190001NPI #: 17908482992920 N 4th StFlagstaff, AZ 86004(928)
213-6100Provider Language(s): SpanishHours: M-F 8:00AM-5:00PM
32
Arizona - Coconino
*Accepts Medicaid. 1 Closed to new enrollment. 2 Accepting
existing patients only. 3 Board Certified. 4Practice Limitations. 8
Handicap Accessible. 9 Cultural Competency Training.Please call the
providers office to confirm the providers enrollment availability
and participation in theMedicaid program.
Primary Care Providers
-
*Schraudenbach, Cooper C,MD3,8, MProvider #003444190002NPI #:
17908482991 Clinic RdGrand Canyon, AZ 86023(928) 638-2551Provider
Language(s): SpanishHours: M-F 8:00AM-5:00PM*Seby, Mark V, MD1,3,8,
MProvider #000561110002NPI #: 1649277492417 N Agassiz St Bldg
1Flagstaff, AZ 86001(928) 779-4200Provider Language(s):
FrenchHours: M-F 8:00AM-5:00PMHospital Affiliations:
FlagstaffMedical Center*Sielski, James1 A, DO3,8, MProvider
#002307367008NPI #: 11240013752920 N 4th StFlagstaff, AZ 86004(928)
213-6100Provider Language(s): Navajo,SpanishHours: M-TH
7:00AM-7:00PMF 8:00AM-5:00PMHospital Affiliations: FlagstaffMedical
Center, White MountainRegional Med Center*Smith, Charles H, MD3,8,
MProvider #001849235001NPI #: 10533839502920 N 4th StFlagstaff, AZ
86004(928) 213-6100Provider Language(s): SpanishHours: M-F
8:00AM-5:00PMHospital Affiliations: FlagstaffMedical Center
*Stone, Frederick C, MD3,8, MProvider #001983797003NPI #:
13563074412920 N 4th StFlagstaff, AZ 86004(928) 213-6100Hours: M-F
8:00AM-5:00PMHospital Affiliations: AbrazoCentral Campus, Cooper
CountyMemorial Hospital, FlagstaffMedical Center,
UniversityHospitals And Clinics*Yoder, Paul T, MD3,8, MProvider
#001769024051NPI #: 17807799911 Clinic RdGrand Canyon, AZ
86023(928) 638-2551Hours: M-F 8:00AM-5:00PMHospital Affiliations:
MemorialHospital Of South Bend, YavapaiRegional Medical Center
West*Yoder, Paul T, MD3,8, MProvider #001769024052NPI #:
1780779991301 S 7th StWilliams, AZ 86046(928) 635-4441Hours: M-F
8:00AM-5:00PMHospital Affiliations: MemorialHospital Of South Bend,
YavapaiRegional Medical Center West*Yoder, Paul T, MD3,8, MProvider
#001769024059NPI #: 17807799912920 N 4th StFlagstaff, AZ 86004(928)
522-6400Hours: M-F 8:00AM-5:00PMHospital Affiliations:
MemorialHospital Of South Bend, YavapaiRegional Medical Center
West
*Yoder, Paul T, MD3,8, MProvider #001769024060NPI #:
17807799912187 N Vickey St Ste 2Flagstaff, AZ 86004(928)
527-1899Hours: M-F 8:00AM-5:00PMHospital Affiliations:
MemorialHospital Of South Bend, YavapaiRegional Medical Center
West*Yoder, Paul T, MD3,8, MProvider #001769024065NPI #:
17807799911120 W University AveFlagstaff, AZ 86001(928)
522-1300Hours: M-F 8:00AM-5:00PMHospital Affiliations:
MemorialHospital Of South Bend, YavapaiRegional Medical Center
West*Zimmerman, Barbara M, MD3,8,FProvider #001529284001NPI #:
1730183278501 N Navajo DrPage, AZ 86040(480) 374-7352Provider
Language(s): JapaneseHours: M-F 8:00AM-5:00PMHospital Affiliations:
BannerPage Hospital*Zimmerman, Barbara M, MD3,8,FProvider
#001529284011NPI #: 1730183278601 N Navajo DrPage, AZ 86040(928)
645-0766Provider Language(s): JapaneseHours: M-F
8:00AM-5:00PMHospital Affiliations: BannerPage Hospital
33
Arizona - Coconino
*Accepts Medicaid. 1 Closed to new enrollment. 2 Accepting
existing patients only. 3 Board Certified. 4Practice Limitations. 8
Handicap Accessible. 9 Cultural Competency Training.
Please call the providers office to confirm the providers
enrollment availability and participation in theMedicaid
program.
Primary Care Providers
Prim
ary Care Providers
-
Federal Qualified Health CareAgency
*Canyonlands Urgent Care1,8Provider #005380531001NPI #:
1669441564440 N Navajo DrPage, AZ 86040(928) 645-1700Hours: M-F
8:00AM-5:00PM*Family Health Center1,8Provider #005038925001NPI #:
10533267511500 E Cedar Ave Ste 266Flagstaff, AZ 86004(928)
773-1245Hours: M-F 8:00AM-5:00PM*Lake Powell Medical
Center1,8Provider #005380545001NPI #: 1619945904467 Vista AvePage,
AZ 86040(928) 645-8123Hours: M-F 8:00AM-5:00PM*North Country
Health-flagst29201,8Provider #005354503001NPI #: 10735834722920 N
4th StFlagstaff, AZ 86004(928) 522-6400Hours: M-F
8:00AM-5:00PM*North Country Health-grand1,8Provider
#005347761001NPI #: 18918100241 Clinic RdGrand Canyon, AZ
86023(928) 638-2551Hours: M-F 8:00AM-5:00PM
*North Country Health-grand1,8Provider #005347761002NPI #:
18918100242920 N 4th StFlagstaff, AZ 86004(928) 522-9400Hours: M-F
8:00AM-5:00PM*North Country Health-guidan1,8Provider
#005354316001NPI #: 18212288262187 N Vickey St Ste 2Flagstaff, AZ
86004(928) 527-1899Hours: M-F 8:00AM-5:00PM*North Country
Health-willia1,8Provider #005354502001NPI #: 1750691788301 S 7th
StWilliams, AZ 86046(928) 635-4441Hours: M-F 8:00AM-5:00PM
Internal Medicine
*Abbott, Brandon H, DO3,8, MProvider #005455599004NPI #:
15283501391 Clinic RdGrand Canyon, AZ 86023(928) 638-2551Hours: M-F
8:00AM-5:00PMHospital Affiliations: FlagstaffMedical Center*Abbott,
Brandon H, DO3,8, MProvider #005455599005NPI #: 1528350139301 S 7th
StWilliams, AZ 86046(928) 635-4441Hours: M-F 8:00AM-5:00PMHospital
Affiliations: FlagstaffMedical Center
*Abbott, Brandon H, DO3,8, MProvider #005455599011NPI #:
15283501392920 N 4th StFlagstaff, AZ 86004(928) 213-6100Hours: M-TH
7:00AM-7:00PMF 7:00AM-6:00PMSA 8:00AM-5:00PMHospital Affiliations:
FlagstaffMedical Center*Abbott, Brandon H, DO3,8, MProvider
#005455599012NPI #: 15283501392187 N Vickey St Ste 2Flagstaff, AZ
86004(928) 714-5322Hours: M-F 8:00AM-5:00PMHospital Affiliations:
FlagstaffMedical Center*Bigler, Jane E, MD8, FProvider
#001702999004NPI #: 1285607952107 E Oak Ave Ste 202Flagstaff, AZ
86001(855) 913-8800Provider Language(s): SpanishHours: M-F
8:00AM-5:00PMHospital Affiliations: FlagstaffMedical
Center*Donnelly, Margaret H, MD3,8, FProvider #001225931005NPI #:
1316924905107 E Oak Ave Ste 201Flagstaff, AZ 86001(855)
913-8800Hours: M-F 8:00AM-5:00PM
34
Arizona - Coconino
*Accepts Medicaid. 1 Closed to new enrollment. 2 Accepting
existing patients only. 3 Board Certified. 4Practice Limitations. 8
Handicap Accessible. 9 Cultural Competency Training.Please call the
providers office to confirm the providers enrollment availability
and participation in theMedicaid program.
Primary Care Providers
-
*Donnelly, Margaret H, MD3,8, FProvider #001225931006NPI #:
13169249051200 N Beaver StFlagstaff, AZ 86001(928) 773-2070Hours:
M-F 8:00AM-5:00PM*Graham, Lisa A, MD8, FProvider #006020930003NPI
#: 13869556231200 N Beaver StFlagstaff, AZ 86001(928)
773-0003Hours: M-F 8:00AM-5:00PMHospital Affiliations:
FlagstaffMedical Center, Maine MedicalCenter*Knudson, Aaron D,
DO3,8, MProvider #003525277006NPI #: 1447417951601 N Navajo DrPage,
AZ 86040(928) 645-0766Hours: M-F 8:00AM-5:00PMHospital
Affiliations: BannerPage Hospital, BannerThunderbird Medical
Center,Dixie Regional Medical Center*Martin, Cynthia E, MD1,3,8,
FProvider #002400013005NPI #: 13462909622920 N 4th StFlagstaff, AZ
86004(928) 213-6100Hours: M-TH 7:00AM-7:00PMF 7:00AM-6:00PMSA
8:00AM-5:00PMHospital Affiliations: FlagstaffMedical Center
*Martin, Cynthia E, MD1,3,8, FProvider #002400013009NPI #:
1346290962301 S 7th StWilliams, AZ 86046(928) 635-4441Hours: M-F
8:00AM-5:00PMHospital Affiliations: FlagstaffMedical Center*Martin,
Cynthia E, MD1,3,8, FProvider #002400013015NPI #: 13462909622187 N
Vickey St Ste 2Flagstaff, AZ 86004(928) 714-5322Hours: M-F
8:00AM-5:00PMHospital Affiliations: FlagstaffMedical
Center*McReynolds, Joel M, MD3,8, MProvider #002706829006NPI #:
15189413761200 N Beaver StFlagstaff, AZ 86001(928) 213-6415Hours:
M-F 8:00AM-5:00PMHospital Affiliations: GhsGreenville Memorial
Hospital,Ghs Greenville MemorialMedical Center, Ghs GreerMemorial
Hospital, Ghs MarshallI Pickens, Ghs PatewoodMemorial Hospital,
PatewoodMemorial Hospital*Newland, Anne M, MD1,3,8, FProvider
#002411822001NPI #: 13361789122920 N 4th StFlagstaff, AZ 86004(928)
213-6100Hours: M-F 8:00AM-5:00PM
*Newland, Anne M, MD1,3,8, FProvider #002411822008NPI #:
1336178912301 S 7th StWilliams, AZ 86046(928) 213-6100Hours: M-F
8:00AM-5:00PM*Pico, Mark H, MD3,8, MProvider #002860426007NPI #:
1629284211107 E Oak Ave Ste 201Flagstaff, AZ 86001(928)
913-8800Hours: M-F 8:00AM-5:00PMHospital Affiliations:
FlagstaffMedical Center, Valley ViewMedical Center, Verde
ValleyMedical Center*Pratiti, Rebecca, MD8, FProvider
#005620614009NPI #: 19122628742920 N 4th StFlagstaff, AZ 86004(928)
213-6100Provider Language(s): Hindi,Marathi, TamilHours: M-F
8:00AM-5:00PMHospital Affiliations: BannerGateway Medical Center,
BannerPayson Medical Center*Raja, Rubina A, MD3,8, FProvider
#003161436049NPI #: 18111245301 Clinic RdGrand Canyon, AZ
86023(928) 638-2551Provider Language(s): Hindi,UrduHours: M-F
8:00AM-5:00PMHospital Affiliations: MountainVista Medical
Center
35
Arizona - Coconino
*Accepts Medicaid. 1 Closed to new enrollment. 2 Accepting
existing patients only. 3 Board Certified. 4Practice Limitations. 8
Handicap Accessible. 9 Cultural Competency Training.
Please call the providers office to confirm the providers
enrollment availability and participation in theMedicaid
program.
Primary Care Providers
Prim
ary Care Providers
-
*Raja, Rubina A, MD3,8, FProvider #003161436050NPI #:
1811124530301 S 7th StWilliams, AZ 86046(928) 635-4441Provider
Language(s): Hindi,UrduHours: M-F 8:00AM-5:00PMHospital
Affiliations: MountainVista Medical Center*Raja, Rubina A, MD3,8,
FProvider #003161436056NPI #: 18111245302920 N 4th StFlagstaff, AZ
86004(928) 522-6400Provider Language(s): Hindi,UrduHours: M-F
8:00AM-5:00PMHospital Affiliations: MountainVista Medical
Center*Raja, Rubina A, MD3,8, FProvider #003161436057NPI #:
18111245302187 N Vickey St Ste 2Flagstaff, AZ 86004(928)
527-1899Provider Language(s): Hindi,UrduHours: M-F
8:00AM-5:00PMHospital Affiliations: MountainVista Medical
Center
*Raja, Rubina A, MD3,8, FProvider #003161436063NPI #:
18111245301120 W University Ave Ste 101Flagstaff, AZ 86001(928)
522-1300Provider Language(s): Hindi,UrduHours: M-F
8:00AM-5:00PMHospital Affiliations: MountainVista Medical
Center*Schor, Janett J, MD3,8, FProvider #002125222003NPI #:
16795023551200 N Beaver StFlagstaff, AZ 86001(928) 214-2920Hours:
M-F 8:00AM-5:00PM*Scott, Randall P, MD, MProvider #001148219002NPI
#: 1235138744715 N Beaver StFlagstaff, AZ 86001(928) 779-5707Hours:
M-F 8:00AM-5:00PMHospital Affiliations: WellstarNorth Fulton
Hospital*Seby, Mark V, MD1,3,8, MProvider #000561110002NPI #:
1649277492417 N Agassiz St Bldg 1Flagstaff, AZ 86001(928)
779-4200Provider Language(s): FrenchHours: M-F
8:00AM-5:00PMHospital Affiliations: FlagstaffMedical Center
Nurse Practitioner - FamilyPractice
*Alessi, Heidi S, NP8, FProvider #002795160075NPI #:
13261696571000 N Humphreys St Ste 104Flagstaff, AZ 86001(928)
779-3844Hours: SU 11:00AM-5:00PMM-SA 7:00AM-7:00PM*Alessi, Heidi S,
NP8, FProvider #002795160076NPI #: 1326169657399 S Malpais Ln Ste
100Flagstaff, AZ 86001(928) 286-8830Hours: SU 11:00AM-5:00PMM-F
8:00AM-5:00PMSA 7:00AM-7:00PM*Boyle, Maureen, NP8, FProvider
#003652304004NPI #: 18718338711000 N Humphreys St Ste 104Flagstaff,
AZ 86001(928) 779-3844Hours: SU 8:00AM-4:00PMM-F 8:00AM-8:00PMSA
8:00AM-4:00PMHospital Affiliations: St JosephsHospital And Med
Center399 S Malpais Ln Ste 100Flagstaff, AZ 86001(928)
286-8830Hours: M-F 8:00AM-5:00PMHospital Affiliations: St
JosephsHospital And Med Center
36
Arizona - Coconino
*Accepts Medicaid. 1 Closed to new enrollment. 2 Accepting
existing patients only. 3 Board Certified. 4Practice Limitations. 8
Handicap Accessible. 9 Cultural Competency Training.Please call the
providers office to confirm the providers enrollment availability
and participation in theMedicaid program.
Primary Care Providers
-
*Crump, Jacklynn, NP8Provider #003671117005NPI #: 18618356541000
N Humphreys St Ste 104Flagstaff, AZ 86001(928) 779-3844Hours: SU
11:00AM-5:00PMM-SA 7:00AM-7:00PM*Florea, Kathleen S, NP8, FProvider
#002930888001NPI #: 12755277641 Clinic RdGrand Canyon, AZ
86023(928) 638-2551Hours: M-SA 8:00AM-6:00PM*Florea, Kathleen S,
NP8, FProvider #002930888004NPI #: 1275527764301 S 7th StWilliams,
AZ 86046(928) 635-4441Hours: M-F 8:00AM-5:00PM*Florea, Kathleen S,
NP8, FProvider #002930888009NPI #: 12755277642920 N 4th
StFlagstaff, AZ 86004(928) 213-6100Hours: M-TH 7:00AM-7:00PMF
8:00AM-5:00PM*Florea, Kathleen S, NP8, FProvider #002930888010NPI
#: