| Jeffrey Thomas Maudlin, MD | |
|
1209 W Target Range Rd, Nogales, AZ 85621-2466 | |
| (520) 287-4747 | |
| (520) 285-3136 |
| Full Name | Jeffrey Thomas Maudlin |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 41 Years |
| Location | 1209 W Target Range Rd, Nogales, 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 |
|---|---|---|---|
| 1811930423 | NPI | - | NPPES |
| 280123 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 17138 (Arizona) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Banner - University Medical Center Tucson Campus | Tucson, AZ | Hospital |
| Banner-university Medical Center South Campus | Tucson, AZ | Hospital |
| Tucson Medical Center | Tucson, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Banner-university Medical Group | 7719899871 | 950 |
| Entity Name | Banner-university Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508809427 PECOS PAC ID: 7719899871 Enrollment ID: O20031105000694 |
| Entity Name | El Rio Santa Cruz Neighborhood Health Center, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487602736 PECOS PAC ID: 6305739244 Enrollment ID: O20040205000098 |
| Entity Name | Cogent Healthcare Of Arizona Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568758266 PECOS PAC ID: 0648441006 Enrollment ID: O20110915000843 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey Thomas Maudlin, MD 2202 N Forbes Blvd, Tucson, AZ 85745-1412 Ph: (520) 287-4747 | Jeffrey Thomas Maudlin, MD 1209 W Target Range Rd, Nogales, AZ 85621-2466 Ph: (520) 287-4747 |
James Lyle Derickson, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1852 N Mastick Way, Nogales, AZ 85621 Phone: 520-281-1550 Fax: 520-281-4487 | |
Valerie A Wohl, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1852 N Mastick Way, Nogales, AZ 85621 Phone: 520-281-1550 Fax: 520-281-1112 | |
Dr. Guy A Crawford, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1209 W Target Range Rd, Nogales, AZ 85621 Phone: 520-287-4747 Fax: 520-285-3136 | |
Kenneth Jones, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1852 N Mastick Way, Nogales, AZ 85621 Phone: 520-281-1550 Fax: 520-281-4487 | |
La Kesha S Francis, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1209 W Target Range Rd Ste 100, Nogales, AZ 85621 Phone: 520-287-4747 Fax: 520-287-4487 | |
William L Bartholomew, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1171 W Target Range Rd, Nogales, AZ 85621 Phone: 520-285-3000 | |
Bernardo Chavira, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1852 N Mastick Way, Nogales, AZ 85621 Phone: 520-281-1550 Fax: 520-281-1112 |