| Mr Ian Lloyd Ruiz Baccay, RN | |
|
5263 S Highway 95 , Fort Mohave, Az 86426, Fort Mohave, AZ 86426-9223 | |
| (928) 704-6400 | |
| Not Available |
| Full Name | Mr Ian Lloyd Ruiz Baccay |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 2 Years |
| Location | 5263 S Highway 95 , Fort Mohave, Az 86426, Fort Mohave, 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 |
|---|---|---|---|
| 1093496069 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 100460 (Guam) | Secondary |
| 363L00000X | Nurse Practitioner | 295726 (Arizona) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Western Arizona Regional Medical Center | Bullhead city, AZ | Hospital |
| Valley View Medical Center | Fort mohave, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Guam Healthcare Development Incorporated | 9234351776 | 174 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Ian Lloyd Ruiz Baccay, RN 4425 S Bernard Pl, Fort Mohave, AZ 86426-5388 Ph: (928) 299-1268 | Mr Ian Lloyd Ruiz Baccay, RN 5263 S Highway 95 , Fort Mohave, Az 86426, Fort Mohave, AZ 86426-9223 Ph: (928) 704-6400 |
Dilyara Cannon, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5653 S Highway 95, Ste A, Fort Mohave, AZ 86426 Phone: 928-768-2558 Fax: 928-768-2874 | |
Kristen Peddycord, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5330 S Highway 95, Fort Mohave, AZ 86426 Phone: 928-788-2273 | |
Deborah Ann Hughson, RNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5263 Hwy 95, Fort Mohave, AZ 86426 Phone: 928-704-6400 Fax: 928-768-1150 | |
Theresa Marin, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1611 E Joy Ln, Fort Mohave, AZ 86426 Phone: 928-788-8000 | |
Mr. Larry Lee Bousquet Ii, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1611 E Joy Ln # 1, Fort Mohave, AZ 86426 Phone: 928-768-9496 Fax: 928-768-1943 | |
Annie Marie Rodman, MSN/FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1510 E Wagon Wheel Ln, Suite 106, Fort Mohave, AZ 86426 Phone: 928-788-9378 Fax: 928-788-9381 |