| Todd M Kravetz, MD | |
|
523 Rose Ln, Wickenburg, AZ 85390-1448 | |
| (928) 668-1833 | |
| (926) 684-7457 |
| Full Name | Todd M Kravetz |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 33 Years |
| Location | 523 Rose Ln, Wickenburg, 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 |
|---|---|---|---|
| 1497700041 | NPI | - | NPPES |
| 061483 | Medicaid | AZ | |
| 0238997 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 35069162 (Ohio) | Secondary |
| 207R00000X | Internal Medicine | 34440 (Arizona) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Community First Home Health Care, Llc | Wickenburg, AZ | Home health agency |
| Care Partners Health Services, Inc. | Avondale, AZ | Home health agency |
| Assisted Home Health | Phoenix, AZ | Home health agency |
| Banner Home Care-arizona | Mesa, AZ | Home health agency |
| Wickenburg Community Hospital | Wickenburg, AZ | Hospital |
| Honorhealth John C. Lincoln Medical Center | Phoenix, AZ | Hospital |
| Banner Del E. Webb Medical Center | Sun city west, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Community Hospital Association Inc | 4981688900 | 29 |
| Entity Name | Community Hospital Association Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841282852 PECOS PAC ID: 4981688900 Enrollment ID: O20040616001475 |
| Entity Name | Community Hospital Association Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1841282852 PECOS PAC ID: 4981688900 Enrollment ID: O20061104000489 |
| Mailing Address | Practice Location Address |
|---|---|
| Todd M Kravetz, MD Po Box 271669, Salt Lake City, UT 84127-1669 Ph: (928) 684-4383 | Todd M Kravetz, MD 523 Rose Ln, Wickenburg, AZ 85390-1448 Ph: (928) 668-1833 |
Juan Angel Vasquez, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 523 Rose Ln, Wickenburg, AZ 85390 Phone: 286-668-1833 |