| Tracy Nimmerrichter-burgess, | |
|
Corner Of Route N12 And N7, Fort Defiance, AZ 86504-0649 | |
| (928) 729-8000 | |
| Not Available |
| Full Name | Tracy Nimmerrichter-burgess |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Experience | 38 Years |
| Location | Corner Of Route N12 And N7, Fort Defiance, 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 |
|---|---|---|---|
| 1346295649 | NPI | - | NPPES |
| 1103449 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD00031197 (Washington) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Fort Defiance Indian Hospital | Fort defiance, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| The Fort Defiance Indian Hospital Board, Incorporation | 0941336697 | 150 |
| Dhhs Phs Naihs Chinle Comprehensive Health Care Facility | 9436062585 | 169 |
| Entity Name | Dhhs Phs Naihs Chinle Comprehensive Health Care Facility |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508800129 PECOS PAC ID: 9436062585 Enrollment ID: O20031106000210 |
| Entity Name | The Fort Defiance Indian Hospital Board, Incorporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477876639 PECOS PAC ID: 0941336697 Enrollment ID: O20100429001153 |
| Mailing Address | Practice Location Address |
|---|---|
| Tracy Nimmerrichter-burgess, Po Box 649, Fort Defiance, AZ 86504-0649 Ph: () - | Tracy Nimmerrichter-burgess, Corner Of Route N12 And N7, Fort Defiance, AZ 86504-0649 Ph: (928) 729-8000 |
Dr. James Edward Coyle Ii, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8000 | |
Michael Lewis Tutt, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: Usphs Ihs Federal Facility, Fort Defiance Hospital, Fort Defiance, AZ 86504 Phone: 928-729-8000 | |
Tonda Hill, M.D. Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8000 | |
Steve Granada, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8000 | |
Aaron Joseph Price, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8000 | |
Dr. Ronny Santosa, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8000 |