| Gregory Ely, MD | |
|
103 Medicine Way Rd, Peridot, AZ 85542-5000 | |
| (928) 475-1400 | |
| Not Available |
| Full Name | Gregory Ely |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 10 Years |
| Location | 103 Medicine Way Rd, Peridot, 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 |
|---|---|---|---|
| 1528416088 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 58573 (Arizona) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hopi Health Care Center | Polacca, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Dhhs Ihs Phoenix Area | 9436325420 | 37 |
| Entity Name | The Fort Defiance Indian Hospital Board, Incorporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477876639 PECOS PAC ID: 0941336697 Enrollment ID: O20100429001153 |
| Entity Name | Dhhs Ihs Phoenix Area |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356628028 PECOS PAC ID: 9436325420 Enrollment ID: O20120222000148 |
| Entity Name | San Carlos Apache Healthcare Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265813075 PECOS PAC ID: 0648580597 Enrollment ID: O20151105002091 |
| Mailing Address | Practice Location Address |
|---|---|
| Gregory Ely, MD 4756 E 10th St, Tucson, AZ 85711-3006 Ph: () - | Gregory Ely, MD 103 Medicine Way Rd, Peridot, AZ 85542-5000 Ph: (928) 475-1400 |
Bing Li, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 103 Medicine Way Rd, Peridot, AZ 85542 Phone: 928-475-1400 | |
Dr. Lakota Cheek, MD Emergency Medicine Medicare: May Accept Medicare Assignments Practice Location: 103 Medicine Way Rd, Peridot, AZ 85542 Phone: 928-475-1400 |