| Dr Diane Grace Bejerano, DO | |
|
523 Rose Ln, Wickenburg, AZ 85390-1448 | |
| (928) 668-1833 | |
| (928) 684-7457 |
| Full Name | Dr Diane Grace Bejerano |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 523 Rose Ln, Wickenburg, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376082941 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | NONE YET (Arizona) | Primary |
| Entity Name | Kingman Healthcare Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265423917 PECOS PAC ID: 6901791367 Enrollment ID: O20040216001173 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Diane Grace Bejerano, DO 15453 W Sierra St, Surprise, AZ 85379-7217 Ph: (626) 278-0127 | Dr Diane Grace Bejerano, DO 523 Rose Ln, Wickenburg, AZ 85390-1448 Ph: (928) 668-1833 |
Jeremy J. Bramwell, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 523 Rose Ln, Wickenburg, AZ 85390 Phone: 928-668-1845 Fax: 928-684-7457 | |
Kirby Farnsworth, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 520 Rose Ln, Wickenburg, AZ 85390 Phone: 928-668-1803 Fax: 928-684-2434 | |
Dr. Bradley J Meek, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 811 N Tegner St, Suite 113, Wickenburg, AZ 85390 Phone: 877-809-5092 Fax: 623-815-9253 | |
Patrick Dean Lynch, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 520 Rose Ln, Wickenburg, AZ 85390 Phone: 928-684-5421 Fax: 928-684-2434 | |
Dr. Morton Stanley Thomas Iii Iii, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 56333 Hiway 93, 56333 Hiway 93, Wickenburg, AZ 85358 Phone: 928-684-5390 | |
Dr. Vance B. Miller, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 W Savage St, Wickenburg, AZ 85390 Phone: 928-684-2425 |