| 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 Practice |
| Experience | 37 Years |
| Location | 1090 Commerce Dr, Prescott, Arizona |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| 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 |
| Facility Name | Location | Facility Type |
|---|---|---|
| Yavapai Regional Medical Center | Prescott, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Davis Orthopaedics | 0749506269 | 7 |
| Entity Name | Raghav Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598125791 PECOS PAC ID: 2466709274 Enrollment ID: O20180725002648 |
| Entity Name | Priority Family Medical Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205309812 PECOS PAC ID: 1850632019 Enrollment ID: O20190416002369 |
| Entity Name | Prescott Medical Investment Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184408874 PECOS PAC ID: 5092151696 Enrollment ID: O20240305004562 |
| 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 |