| Alie Riad Jreisat, MD | |
|
3931 N Stockton Hill Rd, Kingman, AZ 86409-2426 | |
| (928) 385-7100 | |
| (855) 538-3114 |
| Full Name | Alie Riad Jreisat |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 18 Years |
| Location | 3931 N Stockton Hill Rd, Kingman, Arizona |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578130555 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 74052 (Arizona) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kingman Regional Medical Center | Kingman, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lakeside Heart And Vascular Center Pllc | 4587832779 | 26 |
| Prescott Healthcare Solutions Llc | 4385940295 | 196 |
| Entity Name | Lakeside Heart And Vascular Center Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801194352 PECOS PAC ID: 4587832779 Enrollment ID: O20110713000658 |
| Mailing Address | Practice Location Address |
|---|---|
| Alie Riad Jreisat, MD 3931 N Stockton Hill Rd, Kingman, AZ 86409-2426 Ph: (928) 385-7100 | Alie Riad Jreisat, MD 3931 N Stockton Hill Rd, Kingman, AZ 86409-2426 Ph: (928) 385-7100 |
Ashley Marie Eyer, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2668 Hualapai Mountain Rd, Kingman, AZ 86401 Phone: 928-718-7300 | |
Krikor Krikorian, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3269 N Stockton Hill Rd, Kingman, AZ 86409 Phone: 928-757-2101 | |
Alexandre Grebenchtchikov, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3269 N Stockton Hill Rd, Kingman, AZ 86409 Phone: 716-560-1845 | |
Ms. Juvy Escalante, PA Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3269 N Stockton Hill Rd, Kingman, AZ 86409 Phone: 928-757-2101 | |
Ted Edward Zegarra, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1739 E Beverly Ave, Suite 201, Kingman, AZ 86409 Phone: 928-692-3456 Fax: 928-692-7071 | |
Dr. Kenneth Douglas Jackson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1739 E Beverly Ave, Suite 201, Kingman, AZ 86401 Phone: 928-692-3456 Fax: 928-692-7071 | |
Karleen Carol Adams, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3269 N Stockton Hill Rd, Kingman, AZ 86409 Phone: 928-263-4722 Fax: 928-263-4794 |