| Lydia Kuuipo Chong, ACNP | |
|
19646 N 27th Ave Ste 201, Phoenix, AZ 85027-4026 | |
| (602) 663-9371 | |
| (602) 456-6887 |
| Full Name | Lydia Kuuipo Chong |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 8 Years |
| Location | 19646 N 27th Ave Ste 201, Phoenix, 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 |
|---|---|---|---|
| 1790284776 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2100X | Nurse Practitioner - Acute Care | AP10674 (Arizona) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Honorhealth Deer Valley Medical Center | Phoenix, AZ | Hospital |
| Scottsdale Thompson Peak Medical Center | Scottsdale, AZ | Hospital |
| Honorhealth Scottsdale Shea Medical Center | Scottsdale, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Honorhealth Ambulatory | 5991603110 | 498 |
| Entity Name | Southwest Desert Cardiology Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154375343 PECOS PAC ID: 4385627785 Enrollment ID: O20040608000717 |
| Entity Name | Honorhealth Ambulatory |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407050917 PECOS PAC ID: 5991603110 Enrollment ID: O20071005000449 |
| Entity Name | Desert Surgical Specialists Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386167120 PECOS PAC ID: 7618240599 Enrollment ID: O20170829003158 |
| Mailing Address | Practice Location Address |
|---|---|
| Lydia Kuuipo Chong, ACNP 19646 N 27th Ave Ste 201, Phoenix, AZ 85027-4026 Ph: (602) 663-9371 | Lydia Kuuipo Chong, ACNP 19646 N 27th Ave Ste 201, Phoenix, AZ 85027-4026 Ph: (602) 663-9371 |
Ms. Karla D Wax, N.P.-C. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1331 N 7th St, Suite 275, Phoenix, AZ 85006 Phone: 602-254-3151 Fax: 602-256-9581 | |
Gia Kay Thompson, F.N.P Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3003 N Central Ave, Suite 800, Phoenix, AZ 85012 Phone: 602-462-1132 Fax: 602-462-1186 | |
Michele A Riep, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3003 N Central Ave, Suite 800, Phoenix, AZ 85012 Phone: 602-462-1132 | |
Tyler Ann Brockhoff, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1710 N 16th St Ste F1, Phoenix, AZ 85006 Phone: 623-224-3618 Fax: 623-244-1595 | |
Rebecca Anne Shaw, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 16620 N 40th St Ste E1, Phoenix, AZ 85032 Phone: 602-464-9576 Fax: 480-428-0475 | |
Susannamma Lijan, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6850 W Indian School Rd, Phoenix, AZ 85033 Phone: 623-469-1331 | |
Ms. Aldijana Bjelobrkovic, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4350 N 19th Ave Ste 3, Phoenix, AZ 85015 Phone: 602-279-4975 Fax: 602-279-1108 |