| Dr Eric G Cornidez, MD | |
|
4582 N 1st Ave, Ste 170, Tucson, AZ 85718-8602 | |
| (520) 318-6035 | |
| (520) 795-9953 |
| Full Name | Dr Eric G Cornidez |
|---|---|
| Gender | Male |
| Speciality | Pain Management |
| Experience | 20 Years |
| Location | 4582 N 1st Ave, 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 |
|---|---|---|---|
| 1679792527 | NPI | - | NPPES |
| 524557 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 37595 (Arizona) | Secondary |
| 208VP0000X | Pain Medicine - Pain Medicine | 37595 (Arizona) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pain Institute Of Southern Arizona Pisa Pc | 4688615362 | 23 |
| Entity Name | Pain Institute of Southern Arizona Pisa PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861575078 PECOS PAC ID: 4688615362 Enrollment ID: O20050512001086 |
| Entity Name | Pisa Asc Holdco LLC |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1174185649 PECOS PAC ID: 0840527909 Enrollment ID: O20190812003664 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Eric G Cornidez, MD 4582 N 1st Ave, Ste 170, Tucson, AZ 85718-8602 Ph: (520) 318-6035 | Dr Eric G Cornidez, MD 4582 N 1st Ave, Ste 170, Tucson, AZ 85718-8602 Ph: (520) 318-6035 |
Sheldon E Gingerich, MD Pain Medicine Medicare: Not Enrolled in Medicare Practice Location: 630 N Alvernon Way, Tucson, AZ 85711 Phone: 520-322-8440 Fax: 520-322-8462 |
Dr. Fred Neal Davis, MD Pain Medicine Medicare: Not Enrolled in Medicare Practice Location: 6619 N Saint Andrews Dr, Tucson, AZ 85718 Phone: 616-450-6096 |
Stephen Allen Shiller, Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 1501 N. Campbell Ave., Tucson, AZ 85724 Phone: 520-626-0887 |