| Dr Shadd Nathan Cabalatungan, MD | |
|
Copper Queen Community Hospital, 101 Cole Ave, Bisbee, AZ 85603 | |
| (310) 618-4910 | |
| Not Available |
| Full Name | Dr Shadd Nathan Cabalatungan |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | Copper Queen Community Hospital, Bisbee, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033748777 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 70825 (Arizona) | Primary |
| Entity Name | Benson Hospital Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336118322 PECOS PAC ID: 3274443056 Enrollment ID: O20040109000537 |
| Entity Name | Bisbee Hospital Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518968767 PECOS PAC ID: 5092626168 Enrollment ID: O20040623001007 |
| Entity Name | Emergency Physicians Southwest Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912053752 PECOS PAC ID: 2264538529 Enrollment ID: O20070502000382 |
| Entity Name | Ies Arizona Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821752213 PECOS PAC ID: 7810382884 Enrollment ID: O20220310001059 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Shadd Nathan Cabalatungan, MD 5849 N Dartwhite Dr, Tucson, AZ 85741-5268 Ph: (310) 618-4910 | Dr Shadd Nathan Cabalatungan, MD Copper Queen Community Hospital, 101 Cole Ave, Bisbee, AZ 85603 Ph: (310) 618-4910 |
Alexander L. Schoenfeld, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 101 Cole Ave, Bisbee, AZ 85603 Phone: 520-432-5383 | |
Jessica Lee Fontes, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 101 Cole Ave, Bisbee, AZ 85603 Phone: 520-432-5383 | |
Dr. Julia M Brown, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 Cole Ave, Bisbee, AZ 85603 Phone: 520-432-5383 Fax: 520-432-1888 |