| Thomas R Radice, MD | |
|
12033 Agency Rd, Parker, AZ 85344-7718 | |
| (928) 669-2137 | |
| (928) 669-3131 |
| Full Name | Thomas R Radice |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 12033 Agency Rd, Parker, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356327613 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 01049054A (Indiana) | Secondary |
| 208M00000X | Hospitalist | 01049054A (Indiana) | Secondary |
| 207P00000X | Emergency Medicine | 01049054A (Indiana) | Primary |
| Entity Name | Lafayette Emergency Care Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861447211 PECOS PAC ID: 9830189240 Enrollment ID: O20040517001198 |
| Entity Name | Emergency Professionals Of Indiana Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013951219 PECOS PAC ID: 4183604150 Enrollment ID: O20040721000612 |
| Entity Name | Daviess County Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124231493 PECOS PAC ID: 1557271665 Enrollment ID: O20100420000663 |
| Entity Name | Mid West Hospital Physicians Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700341872 PECOS PAC ID: 1658612098 Enrollment ID: O20190411001203 |
| Entity Name | Great Lakes Emergency Physicians Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457816514 PECOS PAC ID: 4789925181 Enrollment ID: O20190412000303 |
| Entity Name | Clarksville Physician Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811629546 PECOS PAC ID: 3476937756 Enrollment ID: O20220906001693 |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas R Radice, MD Po Box 72, Corydon, IN 47112-0072 Ph: (270) 798-8500 | Thomas R Radice, MD 12033 Agency Rd, Parker, AZ 85344-7718 Ph: (928) 669-2137 |
Mallika Manyapu, MD, MPH Emergency Medicine Medicare: Medicare Enrolled Practice Location: 12033 Agency Rd, Parker, AZ 85344 Phone: 928-669-2137 | |
Dr. Paul Robert Hladon, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1200 W Mohave Rd, Emergency Department, Parker, AZ 85344 Phone: 800-444-7009 Fax: 800-305-3233 | |
Emily Veltus, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 12033 W Agency Ave, Parker, AZ 85344 Phone: 928-669-2137 | |
Kimberly A Rice, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 12033 Agency Rd, Parker, AZ 85344 Phone: 928-842-7419 | |
Dr. Subba R Alapati, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 12033 Agency Rd, Parker, AZ 85344 Phone: 928-669-2137 | |
Sean Larsen, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 12033 Agency Rd, Parker, AZ 85344 Phone: 928-669-2137 Fax: 928-669-3131 | |
Dr. Kenneth James Westrate, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 12033 Agency Rd, Parker, AZ 85344 Phone: 928-669-2137 Fax: 928-669-3131 |