| Mary Ann Widman, FNP-C | |
|
1713 S Kofa Ave, Suite A, Parker, AZ 85344-6477 | |
| (928) 669-9700 | |
| (928) 669-9104 |
| Full Name | Mary Ann Widman |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 19 Years |
| Location | 1713 S Kofa Ave, Parker, 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 |
|---|---|---|---|
| 1245428929 | NPI | - | NPPES |
| P00458072 | Other | AZ | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | AP2864 (Arizona) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Havasu Regional Medical Center | Lake havasu city, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hrmc, Llc | 3072641265 | 25 |
| Entity Name | North Country Healthcare Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073583472 PECOS PAC ID: 8820981053 Enrollment ID: O20040210001107 |
| Entity Name | Hrmc, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003139387 PECOS PAC ID: 3072641265 Enrollment ID: O20100508000148 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Ann Widman, FNP-C 1713 S Kofa Ave, Suite A, Parker, AZ 85344-6477 Ph: (928) 669-9700 | Mary Ann Widman, FNP-C 1713 S Kofa Ave, Suite A, Parker, AZ 85344-6477 Ph: (928) 669-9700 |
Melissa Rascon, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1200 W Mohave Rd, Parker, AZ 85344 Phone: 928-669-7380 | |
Miss Gina Marie Cook, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 601 W Riverside Dr Ste 4, Parker, AZ 85344 Phone: 928-256-4110 Fax: 928-722-6113 | |
Donald Francis Walpole, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1200 W Mohave Rd, Parker, AZ 85344 Phone: 928-669-9201 | |
Darryl Horton, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12033 Agency Rd, Parker, AZ 85344 Phone: 928-669-3353 Fax: 928-669-3131 | |
Kelly Anne Cricks, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12033 Agency Rd, Parker, AZ 85344 Phone: 928-669-2137 Fax: 928-669-3131 | |
Dr. Kathy Kladar, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 601 W Riverside Dr Ste 2, Parker, AZ 85344 Phone: 928-256-4110 Fax: 928-256-4112 |