| Monica R Vandivort, MD | |
|
599 E Wilcox Dr, Sierra Vista, AZ 85635-2531 | |
| (520) 459-4604 | |
| (520) 458-2444 |
| Full Name | Monica R Vandivort |
|---|---|
| Gender | Female |
| Speciality | Geriatric Medicine |
| Experience | 36 Years |
| Location | 599 E Wilcox Dr, Sierra Vista, Arizona |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720044365 | NPI | - | NPPES |
| 445230 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | 26972 (Arizona) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Charles Wm Leighton, Jr Hospice, Inc | Willcox, AZ | Hospice |
| Casa De La Paz Hospice | Sierra vista, AZ | Hospice |
| Canyon Vista Medical Center | Sierra vista, AZ | Hospital |
| Banner - University Medical Center Tucson Campus | Tucson, AZ | Hospital |
| Benson Hospital | Benson, AZ | Hospital |
| Haven Of Sierra Vista, Llc | Sierra vista, AZ | Nursing home |
| Good Samaritan Society-quiburi Mission | Benson, AZ | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lcs Healthcare Group Llc | 8820391436 | 4 |
| Entity Name | Lcs Healthcare Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992174585 PECOS PAC ID: 8820391436 Enrollment ID: O20160114001076 |
| Mailing Address | Practice Location Address |
|---|---|
| Monica R Vandivort, MD 599 E Wilcox Dr, Sierra Vista, AZ 85635-2531 Ph: (520) 459-4604 | Monica R Vandivort, MD 599 E Wilcox Dr, Sierra Vista, AZ 85635-2531 Ph: (520) 459-4604 |
Ricardo Dias Goncalves Spaid, MD Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 5700 E Highway 90, Sierra Vista, AZ 85635 Phone: 520-263-2000 | |
Jose Ignacio Gonzalez, MD Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 157 N Coronado Dr, Ste A, Sierra Vista, AZ 85635 Phone: 520-458-1208 Fax: 520-458-1675 | |
Anum Riaz, MD Geriatric Medicine 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 Geriatric Medicine 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. Geriatric Medicine Medicare: Not Enrolled in Medicare Practice Location: 5700 Az-90, Sierra Vista, AZ 85635 Phone: 520-263-2000 | |
Mustafa Faisal Mustafa Douglas, MD Geriatric Medicine 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 Geriatric Medicine Medicare: Not Enrolled in Medicare Practice Location: 5700 Highway 90, Sierra Vista, AZ 85635 Phone: 520-263-2000 Fax: 520-263-2200 |