| Dr John Erik Tveten, MD | |
|
1 Clinic Rd, Grand Canyon, AZ 86023 | |
| (928) 638-2551 | |
| (928) 638-2598 |
| Full Name | Dr John Erik Tveten |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 32 Years |
| Location | 1 Clinic Rd, Grand Canyon, 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 |
|---|---|---|---|
| 1588741615 | NPI | - | NPPES |
| 418849 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 36360 (Arizona) | Secondary |
| 207P00000X | Emergency Medicine | A74666 (California) | Secondary |
| 207Q00000X | Family Medicine | 36360 (Arizona) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Little Colorado Medical Center | Winslow, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Innova Emergency Medical Associates Pc | 2860633435 | 69 |
| Entity Name | North Country Healthcare Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073583472 PECOS PAC ID: 8820981053 Enrollment ID: O20040210001107 |
| Entity Name | Innova Emergency Medical Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295178978 PECOS PAC ID: 2860633435 Enrollment ID: O20160525000770 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr John Erik Tveten, MD Po Box 3630, Flagstaff, AZ 86003-3630 Ph: (928) 522-9879 | Dr John Erik Tveten, MD 1 Clinic Rd, Grand Canyon, AZ 86023 Ph: (928) 638-2551 |
Erinn E Gallagher, DO Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 1 Clinic Rd, Grand Canyon, AZ 86023 Phone: 928-638-2551 | |
Cooper C Schraudenbach, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Clinic Rd, Grand Canyon, AZ 86023 Phone: 928-638-2551 |