| Jose Ignacio Gonzalez, MD | |
|
157 N Coronado Dr, Ste A, Sierra Vista, AZ 85635-6360 | |
| (520) 458-1208 | |
| (520) 458-1675 |
| Full Name | Jose Ignacio Gonzalez |
|---|---|
| Gender | Male |
| Speciality | Cardiovascular Disease (cardiology) |
| Experience | 43 Years |
| Location | 157 N Coronado Dr, Sierra Vista, 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 |
|---|---|---|---|
| 1073601852 | NPI | - | NPPES |
| 12587408 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 21227 (Arizona) | Primary |
| 207RI0011X | Internal Medicine - Interventional Cardiology | 21227 (Arizona) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Billings Clinic Hospital | Billings, MT | Hospital |
| Powell Valley Hospital | Powell, WY | Hospital |
| Frances Mahon Deaconess Hospital | Glasgow, MT | Hospital |
| North Big Horn Hospital District | Lovell, WY | Hospital |
| Christus St Vincent Regional Medical Center | Santa fe, NM | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Great Falls Clinic Llc | 8325944499 | 73 |
| Cmsc Llc | 5890602494 | 92 |
| Billings Clinic | 6002993516 | 814 |
| Entity Name | Billings Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326104845 PECOS PAC ID: 6002993516 Enrollment ID: O20080430000212 |
| Mailing Address | Practice Location Address |
|---|---|
| Jose Ignacio Gonzalez, MD Po Box 64447, Tucson, AZ 85728 Ph: (520) 458-1208 | Jose Ignacio Gonzalez, MD 157 N Coronado Dr, Ste A, Sierra Vista, AZ 85635-6360 Ph: (520) 458-1208 |
Ricardo Dias Goncalves Spaid, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 5700 E Highway 90, Sierra Vista, AZ 85635 Phone: 520-263-2000 |
Anum Riaz, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 5700 E Highway 90, Sierra Vista, AZ 85635 Phone: 520-263-2000 |
Ms. Layla Al Safadi Abou Al Fadel, MD Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 5700 E Hwy 90, Sierra Vista, AZ 85635 Phone: 520-263-3190 Fax: 520-844-4953 |
Mr. Sami Aqqad, M.D. Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 5700 Az-90, Sierra Vista, AZ 85635 Phone: 520-263-2000 |
Ani Tsamalaidze, Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 5700 E Highway 90, Sierra Vista, AZ 85635 Phone: 520-210-2030 |
Mustafa Faisal Mustafa Douglas, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 5700 E Highway 90, Sierra Vista, AZ 85635 Phone: 520-263-3190 |
Mrs. Ayah Khaled-fozan Almufleh, M.D Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 5700 Highway 90, Sierra Vista, AZ 85635 Phone: 520-263-2000 Fax: 520-263-2200 |