| Timothy D Olthoff, DO | |
|
810 Whipple St, Prescott, AZ 86301-1606 | |
| (928) 771-7577 | |
| (928) 458-2080 |
| Full Name | Timothy D Olthoff |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 26 Years |
| Location | 810 Whipple St, Prescott, 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 |
|---|---|---|---|
| 1225019425 | NPI | - | NPPES |
| P00324999 | Other | IN | RR MEDICARE |
| 200521590 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 02002900 (Indiana) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 006190 (Arizona) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Yavapai Regional Medical Center | Prescott, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Prescott Radiologists Llp | 4082699947 | 10 |
| Yavapai Community Hospital Association | 6608777024 | 19 |
| Entity Name | Benson Hospital Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336118322 PECOS PAC ID: 3274443056 Enrollment ID: O20040109000537 |
| Entity Name | Yavapai Community Hospital Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902897820 PECOS PAC ID: 6608777024 Enrollment ID: O20040119000405 |
| Entity Name | Prescott Radiologists Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689636243 PECOS PAC ID: 4082699947 Enrollment ID: O20040623001105 |
| Entity Name | Northern Cochise Community Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013060367 PECOS PAC ID: 4981514288 Enrollment ID: O20040727001399 |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy D Olthoff, DO 10835 N 25th Ave, Ste 240, Phoenix, AZ 85029-3458 Ph: (219) 464-4891 | Timothy D Olthoff, DO 810 Whipple St, Prescott, AZ 86301-1606 Ph: (928) 771-7577 |
Dr. Bernard Sakowicz, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 500 N Hwy 89, Northern Arizona Va Hcs, Prescott, AZ 86313 Phone: 928-445-4860 | |
Stacy Thornley, FNP Radiology Medicare: Accepting Medicare Assignments Practice Location: 743 Miller Valley Rd, Prescott, AZ 86301 Phone: 928-777-9600 Fax: 855-449-5560 | |
Patrick K Hitchcock, MD Radiology Medicare: Medicare Enrolled Practice Location: 500 N Us Highway 89, Prescott, AZ 86313 Phone: 928-776-6004 | |
Dr. Mary M Poncel, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 500 N Hwy 89, Northern Arizona Va Hcs, Prescott, AZ 86313 Phone: 928-445-4860 | |
Dr. Mohamed A Kirdani, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 980 Willow Creek Rd, Prescott, AZ 86301 Phone: 928-443-0077 Fax: 928-443-0019 | |
Michael J D'angelo, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1000 Ainsworth Dr, Suite 115, Prescott, AZ 86305 Phone: 928-778-1971 Fax: 928-443-8473 |