| Vivian K Chang, MD | |
|
167 North Main Street, Tuba City, AZ 86045-0600 | |
| (928) 283-2501 | |
| (928) 283-2677 |
| Full Name | Vivian K Chang |
|---|---|
| Gender | Female |
| Speciality | Orthopedic Surgery |
| Experience | 39 Years |
| Location | 167 North Main Street, Tuba City, 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 |
|---|---|---|---|
| 1871527309 | NPI | - | NPPES |
| 529505 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 183196 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kona Community Hospital | Kealakekua, HI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Alii Health Center | 4486984549 | 44 |
| Entity Name | Alii Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285107698 PECOS PAC ID: 4486984549 Enrollment ID: O20191002003639 |
| Mailing Address | Practice Location Address |
|---|---|
| Vivian K Chang, MD Po Box 600, 167 North Main Street, Tuba City, AZ 86045-0600 Ph: (928) 283-2501 | Vivian K Chang, MD 167 North Main Street, Tuba City, AZ 86045-0600 Ph: (928) 283-2501 |
James P Beck, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 167 North Main Street, Tuba City, AZ 86045 Phone: 928-283-2501 Fax: 928-283-2677 | |
Shannah Malia Redmon, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 167 North Main Street, Tuba City, AZ 86045 Phone: 928-283-2501 Fax: 928-283-2677 | |
Dr. Kosta Mark Zinis, DO Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 167 N Main St, Tuba City, AZ 86045 Phone: 928-283-2501 | |
Dr. Thomas Joseph Peters, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 167 North Main Street, Tuba City, AZ 86045 Phone: 928-283-2501 Fax: 928-283-2677 |