| Julianne Alice Ivy, MD | |
|
167 North Main Street, Tuba City, AZ 86045 | |
| (928) 283-2679 | |
| Not Available |
| Full Name | Julianne Alice Ivy |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 167 North Main Street, Tuba City, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073173597 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 2019018901 (Missouri) | Primary |
| Entity Name | Tuba City Regional Health Care Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548294424 PECOS PAC ID: 4284542531 Enrollment ID: O20031105000107 |
| Mailing Address | Practice Location Address |
|---|---|
| Julianne Alice Ivy, MD Po Box 600, Tuba City, AZ 86045-0600 Ph: () - | Julianne Alice Ivy, MD 167 North Main Street, Tuba City, AZ 86045 Ph: (928) 283-2679 |
Teresa Caya, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 167 N Main Street, Tuba City, AZ 86045 Phone: 866-976-5941 | |
Stephen A Holve, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 167 North Main Street, Tuba City, AZ 86045 Phone: 928-283-2501 Fax: 928-283-2677 | |
Catherine Ann Golski, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 167 N. Main Street, Tuba City Regional Health Care Corporation, Tuba City, AZ 86045 Phone: 928-283-2501 Fax: 928-283-2677 | |
William H Orman, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 167 North Main Street, Tuba City, AZ 86045 Phone: 928-283-2501 Fax: 928-283-2677 | |
Diana Chi-hwa Hu, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 167 North Main Street, Tuba City, AZ 86045 Phone: 928-283-2501 Fax: 928-283-2677 | |
Jane A Oski, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 167 North Main Street, Tuba City, AZ 86045 Phone: 928-283-2501 Fax: 928-283-2677 |