| Dr Kenna J Stephenson, MD | |
|
1090 Commerce Dr, Prescott, AZ 86305-3700 | |
| (928) 583-1000 | |
| (866) 323-8458 |
| Full Name | Dr Kenna J Stephenson |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 1090 Commerce Dr, Prescott, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962697755 | NPI | - | NPPES |
| 137268211 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | H8435 (Texas) | Secondary |
| 207Q00000X | Family Medicine | 27158 (Arizona) | Primary |
| Entity Name | American Medical Center, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457329849 PECOS PAC ID: 1759311699 Enrollment ID: O20050819000498 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kenna J Stephenson, MD Po Box 188, Marana, AZ 85653-0188 Ph: (520) 616-1531 | Dr Kenna J Stephenson, MD 1090 Commerce Dr, Prescott, AZ 86305-3700 Ph: (928) 583-1000 |
Michael James Lacaze, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1050 Gail Gardner Way Ste 300, Prescott, AZ 86305 Phone: 928-717-5232 Fax: 928-717-5238 | |
Dr. Robert Jeffrey Zieve, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 343 S Montezuma St, Prescott, AZ 86303 Phone: 928-445-2900 Fax: 928-445-2053 | |
Dr. Tiffany A Lunt, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1050 Gail Gardner Way Ste 100, Prescott, AZ 86305 Phone: 928-777-0700 Fax: 928-778-5507 | |
Maxwell Brice Pickering, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1003 Willow Creek Rd, Prescott, AZ 86301 Phone: 928-771-5478 Fax: 928-771-5471 | |
Dr. William F De Vito, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2078 Willow Creek Rd, Prescott, AZ 86301 Phone: 928-776-6400 Fax: 855-633-3142 | |
Dr. Irene Anna Royko, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1654 Coyote Rd, Prescott, AZ 86303 Phone: 928-778-4767 Fax: 928-778-4767 | |
Jennifer Goddard, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1050 Gail Gardner Way Ste 100, Prescott, AZ 86305 Phone: 928-777-0700 Fax: 928-445-4464 |