| 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 | Pediatric Medicine |
| Experience | 6 Years |
| Location | Copper Queen Community Hospital, Bisbee, Arizona |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033748777 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 70825 (Arizona) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mission Hospital Regional Med Center | Mission viejo, CA | Hospital |
| Providence Little Company Of Mary Med Ctr Torrance | Torrance, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Emergency Specialist Physicians Medical Associates, Inc | 2163329822 | 40 |
| Entity Name | Mission Viejo Emergency Medical Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073542916 PECOS PAC ID: 2163335241 Enrollment ID: O20031106000308 |
| Entity Name | Emergency Specialist Physicians Medical Associates, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518917913 PECOS PAC ID: 2163329822 Enrollment ID: O20031218001027 |
| Entity Name | Mission Viejo Emergency Medical Associates, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134355597 PECOS PAC ID: 7315090271 Enrollment ID: O20090725000046 |
| 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: Accepting Medicare Assignments 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 |