| Ronald Bernard Killian, DPM | |
|
25 Riviera Blvd, Lake Havasu City, AZ 86403-5694 | |
| (928) 505-5555 | |
| (928) 505-2877 |
| Full Name | Ronald Bernard Killian |
|---|---|
| Gender | Male |
| Speciality | Podiatry |
| Experience | 27 Years |
| Location | 25 Riviera Blvd, Lake Havasu City, 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 |
|---|---|---|---|
| 1205813565 | NPI | - | NPPES |
| 305439 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | 0554 (Arizona) | Secondary |
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 0554 (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 |
|---|---|---|
| Lakeside Orthopedic Institute Llc | 1052316445 | 21 |
| Provider Name | Lakeside Orthopedic Institute Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1275564916 PECOS PAC ID: 1052316445 Enrollment ID: O20060918000307 |
| Mailing Address | Practice Location Address |
|---|---|
| Ronald Bernard Killian, DPM 25 Riviera Blvd, Lake Havasu City, AZ 86403-5694 Ph: (928) 505-5555 | Ronald Bernard Killian, DPM 25 Riviera Blvd, Lake Havasu City, AZ 86403-5694 Ph: (928) 505-5555 |
Ms. Karen Ann Powell, P T Podiatrist Medicare: Not Enrolled in Medicare Practice Location: Oro Grande Elementary 1250 Pawnee Drive, Lake Havasu City, AZ 86406 Phone: 928-505-6900 | |
Western Arizona Foot & Ankle Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1980 Mesquite Ave, Suite 103, Lake Havasu City, AZ 86403 Phone: 928-680-4934 Fax: 928-505-4416 | |
Robert H Novack, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 90 Riviera Dr, Lake Havasu City, AZ 86403 Phone: 928-855-7800 Fax: 928-855-5392 | |
Kevin J Obrien Dpm Inc Podiatrist Medicare: Medicare Enrolled Practice Location: 1731 Mesquite Ave Ste 4, Lake Havasu City, AZ 86403 Phone: 928-854-4307 Fax: 928-854-4339 | |
Ronald B Killian Dpm Llc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1731 Mesquite Ave, Suite 4, Lake Havasu City, AZ 86403 Phone: 928-854-4307 Fax: 928-854-4339 |