| Dr Codyjo Kenneth Kraemer, MD | |
|
5301 E Grant Rd, Tucson, AZ 85712-2805 | |
| (520) 324-5461 | |
| (520) 324-2051 |
| Full Name | Dr Codyjo Kenneth Kraemer |
|---|---|
| Gender | Male |
| Speciality | Vascular Surgery |
| Experience | 12 Years |
| Location | 5301 E Grant Rd, Tucson, 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 |
|---|---|---|---|
| 1942647425 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | R73900 (Arizona) | Secondary |
| 2086S0129X | Surgery - Vascular Surgery | 59231 (Arizona) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Tucson Medical Center | Tucson, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pima Heart Physicians Pc | 6507751294 | 68 |
| Tmc Medical Network | 9638457013 | 231 |
| Entity Name | Banner-university Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508809427 PECOS PAC ID: 7719899871 Enrollment ID: O20031105000694 |
| Entity Name | Pima Heart Physicians Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730137480 PECOS PAC ID: 6507751294 Enrollment ID: O20040220000507 |
| Entity Name | Tucson Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174512792 PECOS PAC ID: 4284527227 Enrollment ID: O20040225000516 |
| Entity Name | Tmc Medical Network |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750832283 PECOS PAC ID: 9638457013 Enrollment ID: O20161107000996 |
| Entity Name | Northern Arizona Healthcare Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669914552 PECOS PAC ID: 3577473362 Enrollment ID: O20170801003409 |
| Entity Name | Pima Heart Physicians Pc |
|---|---|
| Entity Type | Part B Supplier - Intensive Cardiac Rehabilitation |
| Entity Identifiers | NPI Number: 1962259812 PECOS PAC ID: 6507751294 Enrollment ID: O20240712003661 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Codyjo Kenneth Kraemer, MD 5301 E Grant Rd, Tucson, AZ 85712-2874 Ph: (520) 324-5461 | Dr Codyjo Kenneth Kraemer, MD 5301 E Grant Rd, Tucson, AZ 85712-2805 Ph: (520) 324-5461 |
Bashir Adam Koko, MBBS Surgery Medicare: Medicare Enrolled Practice Location: 1501 N Campbell Ave Rm 5304, Tucson, AZ 85724 Phone: 520-626-7747 Fax: 520-626-2247 | |
Dr. Patrick A Smith, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1951 N Wilmot Rd, Building 2, Tucson, AZ 85712 Phone: 520-795-5845 Fax: 520-795-8620 | |
Dr. Michele Lynn Boyce Ley, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 5240 E Knight Dr Ste 114, Tucson, AZ 85712 Phone: 520-605-2778 Fax: 520-535-2232 | |
Dr. Silvia Kurtovic, MD Surgery Medicare: Medicare Enrolled Practice Location: 5780 N Swan Rd Ste 180, Tucson, AZ 85718 Phone: 520-448-9490 Fax: 520-448-9492 | |
James C Balserak, MD Surgery Medicare: Medicare Enrolled Practice Location: 5301 E Grant Rd, Tucson, AZ 85712 Phone: 520-324-5461 Fax: 520-795-8620 | |
Dr. Mohammad Rida Khreiss, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1951 N Wilmot Rd, Bldg 2, Tucson, AZ 85712 Phone: 520-795-5845 Fax: 520-795-8620 | |
Wyatt Ho, MD Surgery Medicare: Medicare Enrolled Practice Location: 1104 N El Dorado Pl, Tucson, AZ 85715 Phone: 520-762-9777 Fax: 520-666-3211 |