| Kristi Beth Kolek, PA | |
|
1100 N San Francisco St, Flagstaff, AZ 86001-3260 | |
| (928) 779-7853 | |
| (928) 774-0508 |
| Full Name | Kristi Beth Kolek |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 19 Years |
| Location | 1100 N San Francisco St, Flagstaff, 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 |
|---|---|---|---|
| 1730357153 | NPI | - | NPPES |
| 420103 | Medicaid | AZ | |
| 3807 | Other | AZ | STATE LISCENCE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 3807 (Arizona) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Verde Valley Medical Center | Cottonwood, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Genesis Ob Gyn Pllc | 4284724279 | 109 |
| Entity Name | Genesis Ob Gyn PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992994214 PECOS PAC ID: 4284724279 Enrollment ID: O20071213000739 |
| Mailing Address | Practice Location Address |
|---|---|
| Kristi Beth Kolek, PA 485 N Pinecliff Dr, Flagstaff, AZ 86001-3380 Ph: (928) 380-2611 | Kristi Beth Kolek, PA 1100 N San Francisco St, Flagstaff, AZ 86001-3260 Ph: (928) 779-7853 |
Mr. Bruce A Mortensen, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 2000 S Thompson St, Flagstaff, AZ 86001 Phone: 928-226-6400 Fax: 928-226-6410 |
Corey Allen Carver, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 525 N Switzer Canyon Dr, Flagstaff, AZ 86001 Phone: 928-773-2280 Fax: 928-773-2281 |
Erin H Engel, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 107 E Oak Ave, Flagstaff, AZ 86001 Phone: 928-779-7880 Fax: 928-779-7895 |
Anna Elizabeth Fredenberg, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 525 N Switzer Canyon Dr, Flagstaff, AZ 86001 Phone: 928-773-2280 Fax: 928-773-2281 |
Kelly Michele Czarnecki, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1490 N Turquoise Dr, Flagstaff, AZ 86001 Phone: 928-774-5074 Fax: 928-774-0884 |
Kimberly Sargent, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 107 E Oak Ave, Flagstaff, AZ 86001 Phone: 928-779-7880 |
Mr. Raymond Wolfgang Lieber, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 107 E Oak Ave, Flagstaff, AZ 86001 Phone: 928-779-7880 Fax: 928-779-7895 |