| Mr Alfredo Altamirano, PA - C, MPAS | |
|
4275 N Rillito Creek Pl, Tucson, AZ 85719-1164 | |
| (520) 548-1150 | |
| (520) 795-3535 |
| Full Name | Mr Alfredo Altamirano |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 22 Years |
| Location | 4275 N Rillito Creek Pl, Tucson, 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 |
|---|---|---|---|
| 1699876862 | NPI | - | NPPES |
| 1699876862 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | 2632 (Arizona) | Primary |
| 363A00000X | Physician Assistant | 8526-23 (Wisconsin) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lake Region Healthcare Corporation | Elbow lake, MN | Hospital |
| Saint Joseph Regional Medical Center | Mishawaka, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Prairie Ridge Hospital And Health Services | 0648222349 | 90 |
| Dean Health Systems Inc | 7012827983 | 1174 |
| Entity Name | Avera Marshall |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568401016 PECOS PAC ID: 5799695227 Enrollment ID: O20031106000219 |
| Entity Name | Unity Family Healthcare |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326234006 PECOS PAC ID: 9830003516 Enrollment ID: O20031117000732 |
| Entity Name | Mille Lacs Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548212699 PECOS PAC ID: 4789577834 Enrollment ID: O20040204000052 |
| Entity Name | Swift County-benson Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174529002 PECOS PAC ID: 8729069281 Enrollment ID: O20040528001145 |
| Entity Name | Sanford Health of Northern Minnesota |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770849697 PECOS PAC ID: 5597725168 Enrollment ID: O20041025000442 |
| Entity Name | Prairie Ridge Hospital and Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407838329 PECOS PAC ID: 0648222349 Enrollment ID: O20050210000490 |
| Entity Name | Prairie Ridge Hospital and Health Services |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1407838329 PECOS PAC ID: 0648222349 Enrollment ID: O20061104000667 |
| Entity Name | Rural Health Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215317375 PECOS PAC ID: 3476447541 Enrollment ID: O20150710000034 |
| Entity Name | Avera Granite Falls |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700429644 PECOS PAC ID: 1456784560 Enrollment ID: O20200106000646 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Alfredo Altamirano, PA - C, MPAS 4275 N Rillito Creek Pl, Tucson, AZ 85719-1164 Ph: (520) 548-1150 | Mr Alfredo Altamirano, PA - C, MPAS 4275 N Rillito Creek Pl, Tucson, AZ 85719-1164 Ph: (520) 548-1150 |
Miss Ashlee Elizabeth Krongaard, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4280 N Oracle Rd Ste 100, Tucson, AZ 85705 Phone: 188-838-1485 |
Ms. Barbara Magno Vucasovich, SA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1621 N Via Encanto, Tucson, AZ 85715 Phone: 214-227-2457 Fax: 214-764-0880 |
Alexandria Taysom, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1625 N Campbell Ave, Tucson, AZ 85719 Phone: 520-694-0111 |
Olivia Katherine Sobojinski, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6130 N La Cholla Blvd Ste 135a, Tucson, AZ 85741 Phone: 520-881-1394 Fax: 520-882-7467 |
Ms. Anne M Elliott, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 7566 N La Cholla Blvd, Suite A, Tucson, AZ 85741 Phone: 520-742-4139 Fax: 520-742-3010 |
Raven Janin Marshall-santillan, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3601 S 6th Ave, Tucson, AZ 85723 Phone: 520-792-1450 |
Mrs. Sara Monroe Royse, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1595 E River Rd Ste 201, Tucson, AZ 85718 Phone: 520-293-5757 Fax: 520-293-7358 |