| Dr Leon A Pontikes, MD | |
|
199 S Candy Ln, Suite 1a, Cottonwood, AZ 86326-4183 | |
| (928) 649-7969 | |
| (928) 634-7921 |
| Full Name | Dr Leon A Pontikes |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 199 S Candy Ln, Cottonwood, Arizona |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609862093 | NPI | - | NPPES |
| 100127100A | Medicaid | OK | |
| 442172681001 | Other | OK | BCBS-LAWTON |
| 7922317 | Other | OK | AETNA |
| 347459110 | Other | OK | DOL |
| 871971 | Medicaid | AZ | |
| 020051475 | Other | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 22527 (Oklahoma) | Secondary |
| 208600000X | Surgery | 48519 (Arizona) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Leon A Pontikes, MD 1200 N Beaver St, Payer Credentialing, Flagstaff, AZ 86001-3118 Ph: (928) 773-2559 | Dr Leon A Pontikes, MD 199 S Candy Ln, Suite 1a, Cottonwood, AZ 86326-4183 Ph: (928) 649-7969 |
Robert Scott Kinkade, M .D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 651 W Mingus Ave, Suite 1d, Cottonwood, AZ 86326 Phone: 928-649-1000 Fax: 928-649-3929 | |
Dr. S Blair Faulkner, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 340 S Willard St, Cottonwood, AZ 86326 Phone: 928-639-6025 Fax: 928-649-7921 | |
Dr. Hu Al Blake Ii, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 199 S Candy Ln, Suite 1a, Cottonwood, AZ 86326 Phone: 928-649-7969 Fax: 928-634-7921 | |
Dr. Algimantas L Jecius, Surgery Medicare: Accepting Medicare Assignments Practice Location: 340 S Willard St, Cottonwood, AZ 86326 Phone: 928-639-7969 |