| Dr John S Condojani, DO | |
|
200 W. Hospital Dr, Whiteriver, AZ 85941 | |
| (928) 338-4911 | |
| Not Available |
| Full Name | Dr John S Condojani |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 24 Years |
| Location | 200 W. Hospital Dr, Whiteriver, 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 |
|---|---|---|---|
| 1497761555 | NPI | - | NPPES |
| 1295993376 | Medicaid | AZ | |
| 1629236716 | Medicaid | AZ | |
| 1871523191 | Medicaid | AZ | |
| 1780614008 | Medicaid | AZ | |
| 958655 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 0-317 (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Little Colorado Medical Center | Winslow, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Winslow Indian Health Care Center Inc | 4284548991 | 79 |
| Winslow Memorial Hospital Inc | 8628988409 | 33 |
| Entity Name | Winslow Indian Health Care Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184729493 PECOS PAC ID: 4284548991 Enrollment ID: O20031117000864 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr John S Condojani, DO Po Box 860, Whiteriver, AZ 85941-0860 Ph: (928) 338-4911 | Dr John S Condojani, DO 200 W. Hospital Dr, Whiteriver, AZ 85941 Ph: (928) 338-4911 |
Christopher K Jentoft, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 West Hospital Drive, Whiteriver, AZ 85941 Phone: 928-338-4911 Fax: 928-338-3520 | |
Dr. Pattie Jean Malone, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 W. Hospital Drive, Whiteriver, AZ 85941 Phone: 928-338-4911 | |
Dr. James George Ard, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 W Hospital Dr, Whiteriver, AZ 85941 Phone: 928-338-4911 Fax: 928-338-5508 | |
Dr. David Alan Yost, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 West Hospital Drive, Whiteriver, AZ 85941 Phone: 928-338-4911 Fax: 928-338-3522 | |
Dr. Abigail Hawkins, MD Family Medicine Medicare: Medicare Enrolled Practice Location: Po Box 860, Whiteriver, AZ 85941 Phone: 928-338-4911 | |
Dr. John Christian Umhau, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 200 West Hospital Dr, Whiteriver, AZ 85941 Phone: 928-338-3555 Fax: 928-338-5508 |