| Dr Scott S Ekdahl, DO | |
|
474 N Us Highway 89, Chino Valley, AZ 86323 | |
| (928) 636-5680 | |
| (928) 636-5853 |
| Full Name | Dr Scott S Ekdahl |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 474 N Us Highway 89, Chino Valley, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699862656 | NPI | - | NPPES |
| 273954 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 2370 (Arizona) | Primary |
| Entity Name | Nextcare Arizona Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043371826 PECOS PAC ID: 9537161260 Enrollment ID: O20070209000357 |
| Entity Name | Yavapai Regional Medical Center Physician Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255582003 PECOS PAC ID: 5294898987 Enrollment ID: O20090106000798 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Scott S Ekdahl, DO Po Box 10880, Prescott, AZ 86304-0880 Ph: (928) 759-5987 | Dr Scott S Ekdahl, DO 474 N Us Highway 89, Chino Valley, AZ 86323 Ph: (928) 636-5680 |
Dr. Jean Earl, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 474 N Hwy 89, Chino Valley, AZ 86323 Phone: 928-636-5680 Fax: 928-636-5853 | |
Cheryl R Ree, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 474 N Hwy 89, Chino Valley, AZ 86323 Phone: 928-636-5680 Fax: 928-636-5853 | |
Pete Banchuin, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 474 N Highway 89, Chino Valley, AZ 86323 Phone: 928-636-5680 Fax: 928-636-5853 | |
Mr. Anthony Joseph Brown, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 474 N Hwy 89, Chino Valley, AZ 86323 Phone: 928-636-5680 Fax: 928-636-5853 |