| Floyd Bodden, PA | |
|
Corner Of Route N12 And N7, Fort Defiance, AZ 86504 | |
| (928) 729-8000 | |
| (928) 729-8000 |
| Full Name | Floyd Bodden |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 32 Years |
| Location | Corner Of Route N12 And N7, Fort Defiance, 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 |
|---|---|---|---|
| 1811191687 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA13593 (California) | Primary |
| 363A00000X | Physician Assistant | 999 (Nevada) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hawarden Regional Healthcare | Hawarden, IA | Hospital |
| Cibola General Hospital | Grants, NM | Hospital |
| Entity Name | North Platte Nebraska Hospital Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700855533 PECOS PAC ID: 6507856697 Enrollment ID: O20040512000889 |
| Mailing Address | Practice Location Address |
|---|---|
| Floyd Bodden, PA Po Box 649, Fort Defiance, AZ 86504-0649 Ph: (928) 729-8000 | Floyd Bodden, PA Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Ph: (928) 729-8000 |
Pony Nancy Sokiri, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: Corner Of Route N12 And N7, Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8000 |
Andrew Yosim, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8000 |
Kyle Maxum, Physician Assistant Medicare: Medicare Enrolled Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8000 |
Roanne Jimenez, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8000 |
Miriam Christine Rollason, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8000 |
Ms. Tessa Tahereh Facer, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8000 |
Ceairra Torres Beck, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: Corner Of Route N12 & N7, Fort Defiance, AZ 86504 Phone: 928-729-8431 |