| Cody D Patton, DO | |
| 320 W Prince Rd, Tucson, AZ 85705-3526 | |
| (520) 670-3909 | |
| (520) 309-2560 | 
| Full Name | Cody D Patton | 
|---|---|
| Gender | Male | 
| Speciality | Family Medicine | 
| Location | 320 W Prince Rd, Tucson, Arizona | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1801258801 | NPI | - | NPPES | 
| 411984402 | Other | TX | CSHCN | 
| 411984401 | Medicaid | TX | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207Q00000X | Family Medicine | S6011 (Texas) | Secondary | 
| 207Q00000X | Family Medicine | 21475 (California) | Secondary | 
| 207Q00000X | Family Medicine | 010354 (Arizona) | Primary | 
| Entity Name | El Rio Santa Cruz Neighborhood Health Center, Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1487602736 PECOS PAC ID: 6305739244 Enrollment ID: O20040205000098 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Cody D Patton, DO 839 W Congress St, Tucson, AZ 85745-2819 Ph: (520) 670-3909 | Cody D Patton, DO 320 W Prince Rd, Tucson, AZ 85705-3526 Ph: (520) 670-3909 | 
| Dr. Jeffrey T. Mack, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 4001 E Sunrise Dr Ste 161, Tucson, AZ 85718 Phone: 520-408-6955 | |
| Melissa Laura Ray, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2155 W Orange Grove Rd, Tucson, AZ 85741 Phone: 520-742-0414 Fax: 520-742-4063 | |
| David L Massanari, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3945 E Paradise Falls Drive, Ste 201, Tucson, AZ 85712 Phone: 520-615-6200 Fax: 520-615-6255 | |
| Violet P Siwik, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 707 N Alvernon Way Ste 101, Tucson, AZ 85711 Phone: 520-694-8888 Fax: 520-694-1640 | |
| Dr. Ivy L Schwartz, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2502 N Dodge Blvd, Suite 100, Tucson, AZ 85716 Phone: 520-618-8747 Fax: 520-882-5676 | |
| Rhema Sayers, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1400 N Wilmot Rd, Suite 110, Tucson, AZ 85712 Phone: 520-884-4999 Fax: 520-300-6669 | |
| Dr. Shauna Lee Mcisaac, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3550 N First Ave, Suite 300, Tucson, AZ 85719 Phone: 520-887-0715 Fax: 520-887-1315 |