| Pearl Kloac, FNP | |
|
Us Hwy 98 & Navajo Route 16, 7397, Shonto, AZ 86054 | |
| (928) 672-3000 | |
| (928) 672-3062 |
| Full Name | Pearl Kloac |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | Us Hwy 98 & Navajo Route 16, Shonto, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427143593 | NPI | - | NPPES |
| 494458 | Medicaid | AZ | |
| 8HL079 | Other | AZ | MEDICARE WR |
| 8HL080 | Other | AZ | MEDICARE CBQ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 4704119567 (Michigan) | Primary |
| Entity Name | Dhhs Phs Naihs Shiprock Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780639971 PECOS PAC ID: 0749193837 Enrollment ID: O20031105000809 |
| Entity Name | Kayenta Alternative Rural Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174692529 PECOS PAC ID: 3678558129 Enrollment ID: O20040621000422 |
| Entity Name | Ton Sells Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487652426 PECOS PAC ID: 5092768663 Enrollment ID: O20050301000125 |
| Entity Name | Ton San Xavier Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437157302 PECOS PAC ID: 6608819339 Enrollment ID: O20050603000721 |
| Entity Name | Ton Santa Rosa Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770581639 PECOS PAC ID: 0749223485 Enrollment ID: O20050603000761 |
| Entity Name | Ton San Simon Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588834998 PECOS PAC ID: 8123194354 Enrollment ID: O20081111000398 |
| Mailing Address | Practice Location Address |
|---|---|
| Pearl Kloac, FNP Hc 70 Box 7397, Shonto, AZ 86054 Ph: (928) 672-3057 | Pearl Kloac, FNP Us Hwy 98 & Navajo Route 16, 7397, Shonto, AZ 86054 Ph: (928) 672-3000 |
Yvonne April Gilchrist, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: State Highway 98 & Navajo Route 16, Shonto, AZ 86054 Phone: 928-697-4000 |