| Dr Frank Daniel Kresock Jr, MD | |
|
1413 W 16th St, The Cardiovascular Center, Parker, AZ 85344-6310 | |
| (928) 669-8161 | |
| (928) 669-8171 |
| Full Name | Dr Frank Daniel Kresock Jr |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Cardiovascular Disease |
| Location | 1413 W 16th St, Parker, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316948169 | NPI | - | NPPES |
| 110161929 | Other | AZ | RAILROAD MEDICARE |
| 429698 | Medicaid | AZ | |
| WCSKQ | Other | AZ | SUN HEALTH GRP # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 26534 (Arizona) | Primary |
| Entity Name | Cardiovascular Center Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437483385 PECOS PAC ID: 2769521467 Enrollment ID: O20091208000796 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Frank Daniel Kresock Jr, MD 1413 W 16th St, The Cardiovascular Center, Parker, AZ 85344-6310 Ph: (928) 669-8161 | Dr Frank Daniel Kresock Jr, MD 1413 W 16th St, The Cardiovascular Center, Parker, AZ 85344-6310 Ph: (928) 669-8161 |
Ezzaddin Al Wahsh, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 12033 Agency Rd, Parker, AZ 85344 Phone: 928-669-2137 Fax: 928-669-3131 | |
Dr. Khalid Naqi, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1713 S Kofa Ave, Suite J, Parker, AZ 85344 Phone: 928-575-4959 Fax: 928-575-4962 | |
Virgilio Aristeo Cantu, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 12033 Agency Rd, Parker, AZ 85344 Phone: 928-669-2137 Fax: 928-669-3131 | |
Peter D'orazio, MD Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 12033 Agency Rd, Parker, AZ 85344 Phone: 928-669-2137 | |
Kevin Scott Klopfenstein, M.D. Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 400 S California Ave, Parker, AZ 85344 Phone: 928-669-6151 Fax: 928-669-8403 | |
Dr. Ajai Shreevatsa, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 12033 Agency Rd, Parker, AZ 85344 Phone: 928-669-2137 Fax: 928-669-3131 |