| Edgardo Rivera, M D | |
|
3269 N Stockton Hill Rd, Kingman, AZ 86409-3619 | |
| (928) 263-5666 | |
| (928) 692-4648 |
| Full Name | Edgardo Rivera |
|---|---|
| Gender | Male |
| Speciality | Medical Oncology |
| Experience | 35 Years |
| Location | 3269 N Stockton Hill Rd, Kingman, 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 |
|---|---|---|---|
| 1265561070 | NPI | - | NPPES |
| 8W1057 | Other | TX | BLUE CROSS BLUE SHIELD |
| P00442974 | Other | TX | RAILROAD MEDICARE |
| 041341102 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RX0202X | Internal Medicine - Medical Oncology | J1479 (Texas) | Secondary |
| 207RX0202X | Internal Medicine - Medical Oncology | 44221 (Arizona) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kingman Regional Medical Center | Kingman, AZ | Hospital |
| Havasu Regional Medical Center | Lake havasu city, AZ | Hospital |
| Valley View Medical Center | Fort mohave, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Kingman Healthcare Inc | 6901791367 | 148 |
| Entity Name | Kingman Healthcare Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265423917 PECOS PAC ID: 6901791367 Enrollment ID: O20040216001173 |
| Mailing Address | Practice Location Address |
|---|---|
| Edgardo Rivera, M D 3269 N Stockton Hill Rd, Kingman, AZ 86409-3619 Ph: (928) 263-5666 | Edgardo Rivera, M D 3269 N Stockton Hill Rd, Kingman, AZ 86409-3619 Ph: (928) 263-5666 |
Dr. Jeremy Harris Kaplan, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1739 E Beverly Ave Ste 101, Kingman, AZ 86409 Phone: 928-681-8715 | |
Ms. Caridad Padron, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3269 N Stockton Hill Rd, Kingman, AZ 86409 Phone: 928-757-2101 | |
Dr. Ordessia Charran, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1739 E Beverly Ave Ste 203, Kingman, AZ 86409 Phone: 928-757-3133 Fax: 928-757-3136 | |
Dr. Tiffany E Russell, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1510 N Stockton Hill Rd, Kingman, AZ 86401 Phone: 928-753-1177 | |
Narayanaswamy Deepak, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1753 Airway Ave, Suite A, Kingman, AZ 86409 Phone: 928-757-4359 | |
Dr. Harris Salim, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3636 Stockton Hill Rd, Kingman, AZ 86409 Phone: 928-757-3680 Fax: 928-757-3614 | |
Dr. S Ismail Ah Bokhari Sr., M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1720 E Beverly Ave, Suite B, Kingman, AZ 86409 Phone: 928-757-1333 Fax: 928-757-2367 |