Bullhead City Clinic Corp - Medicare Primary Care in Bullhead City, AZ

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Bullhead City Clinic Corp is a medicare enrolled primary clinic (Surgery) in Bullhead City, Arizona. The current practice location for Bullhead City Clinic Corp is 2500 Canyon Rd Bldg B, Bullhead City, Arizona. For appointments, you can reach them via phone at (928) 763-9290. The mailing address for Bullhead City Clinic Corp is Po Box 689022, Franklin, Tennessee and phone number is (615) 465-3371.

Bullhead City Clinic Corp is licensed to practice in Arizona (license number 4270). The clinic also participates in the medicare program and its NPI number is 1962429878. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (928) 763-9290.

Contact Information

Bullhead City Clinic Corp
2500 Canyon Rd Bldg B
Bullhead City
AZ 86442-8624
(928) 763-9290
Not Available

Map and Direction


Primary Care Clinic Profile

Full NameBullhead City Clinic Corp
SpecialitySurgery
Location2500 Canyon Rd Bldg B, Bullhead City, Arizona
Authorized Official Name and PositionKristina Music (DIRECTOR OF PROVIDER ENROLLMENT)
Authorized Official Contact6154657377
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Bullhead City Clinic Corp
Po Box 689022
Franklin
TN 37068-9022

Ph: (615) 465-3371		Bullhead City Clinic Corp
2500 Canyon Rd Bldg B
Bullhead City
AZ 86442-8624

Ph: (928) 763-9290

NPI Details:

NPI Number1962429878
Provider Enumeration Date07/16/2006
Last Update Date01/11/2024

Medicare PECOS Information:

Medicare PECOS PAC ID1052317575
Medicare Enrollment IDO20061005000614

Medical Identifiers

Medical identifiers for Bullhead City Clinic Corp such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1962429878NPI-NPPES
332390MedicaidAZ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RG0100XInternal Medicine - Gastroenterology (* (Not Available))Secondary
207V00000XObstetrics & Gynecology (* (Not Available))Secondary
207Y00000XOtolaryngology (* (Not Available))Secondary
208600000XSurgery 4270 (Arizona)Primary
208800000XUrology (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Bullhead City Clinic Corp acts as a billing entity for following providers:
Provider NameJames Duane Bates
Provider TypePractitioner - Thoracic Surgery
Provider IdentifiersNPI Number: 1275572992
PECOS PAC ID: 2961483375
Enrollment ID: I20040602000088
Provider NameJerold R Morgan
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1710910575
PECOS PAC ID: 9032134200
Enrollment ID: I20070322000252
Provider NameRichard Bailey
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1477553543
PECOS PAC ID: 6406948223
Enrollment ID: I20080423000641
Provider NameJose H Alvarez
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1093899379
PECOS PAC ID: 4880857564
Enrollment ID: I20120516000216
Provider NameAngela Lipinski
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1275911521
PECOS PAC ID: 8628381555
Enrollment ID: I20150721000797
Provider NameMalik T Rahim
Provider TypePractitioner - Interventional Cardiology
Provider IdentifiersNPI Number: 1356542112
PECOS PAC ID: 0941350631
Enrollment ID: I20160811001035
Provider NameMichael H Wright
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1649242678
PECOS PAC ID: 1153372917
Enrollment ID: I20170605002473
Provider NameNachiket J Patel
Provider TypePractitioner - Interventional Cardiology
Provider IdentifiersNPI Number: 1528377090
PECOS PAC ID: 6002068830
Enrollment ID: I20181107002334
Provider NameDeborah Ann Hughson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1164988135
PECOS PAC ID: 9436490984
Enrollment ID: I20190409003580
Provider NameNathan Chad Weaver
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1386064863
PECOS PAC ID: 0446568331
Enrollment ID: I20190731003768
Provider NameLudane Simmons
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1114367364
PECOS PAC ID: 8921335142
Enrollment ID: I20190812001390
Provider NameThomas G Hooke
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1154784023
PECOS PAC ID: 8325331176
Enrollment ID: I20190828001137
Provider NameTeresa Gentry
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1477119048
PECOS PAC ID: 7618206822
Enrollment ID: I20190913001310
Provider NamePhuong Nguyen
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1275947103
PECOS PAC ID: 1153651161
Enrollment ID: I20190917004302
Provider NameJoanne Rink
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1215991963
PECOS PAC ID: 7012967664
Enrollment ID: I20191003003041
Provider NameFahim A Habib
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1659336857
PECOS PAC ID: 6204881881
Enrollment ID: I20191101001715
Provider NameJoie L Tedder
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1699195438
PECOS PAC ID: 4981822798
Enrollment ID: I20200612000793
Provider NameMichael Davis
Provider TypePractitioner - Vascular Surgery
Provider IdentifiersNPI Number: 1689928061
PECOS PAC ID: 2466780036
Enrollment ID: I20200618002158
Provider NameDouglas Daniel Opie
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1154708451
PECOS PAC ID: 8921421702
Enrollment ID: I20200713001622
Provider NameRyan T Hunley
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1992233704
PECOS PAC ID: 2062835721
Enrollment ID: I20200714001166
Provider NameWilman B Olmedo Calderon
Provider TypePractitioner - Interventional Cardiology
Provider IdentifiersNPI Number: 1457788796
PECOS PAC ID: 7113341462
Enrollment ID: I20200721000954
Provider NameAditya R Goud
Provider TypePractitioner - Interventional Cardiology
Provider IdentifiersNPI Number: 1073929550
PECOS PAC ID: 9335446327
Enrollment ID: I20210621001783
Provider NameJoy Marie Dunn
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1760702328
PECOS PAC ID: 0042441248
Enrollment ID: I20210719001753
Provider NameMichael T Rozell
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1962769653
PECOS PAC ID: 8022388719
Enrollment ID: I20210820001706
Provider NameSuzette Watson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1417473224
PECOS PAC ID: 6800162066
Enrollment ID: I20210901001141
Provider NameNancy Lynn Mitchell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1043823800
PECOS PAC ID: 4082011192
Enrollment ID: I20211118002694
Provider NameDorota Maria Kotyra-wright
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548928286
PECOS PAC ID: 9436542362
Enrollment ID: I20220216002732
Provider NameGeraldine Tanagon Liban
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1932861366
PECOS PAC ID: 5799171161
Enrollment ID: I20220412001167
Provider NamePhilip Anthony Basala
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1558376137
PECOS PAC ID: 7517035900
Enrollment ID: I20220506002006
Provider NameNicholas Dean Ghiloni
Provider TypePractitioner - Interventional Cardiology
Provider IdentifiersNPI Number: 1780002774
PECOS PAC ID: 7416220942
Enrollment ID: I20220819002380
Provider NameConnie N Douglass
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255069688
PECOS PAC ID: 6608242508
Enrollment ID: I20221018001869
Provider NameBashar Obeidou
Provider TypePractitioner - Interventional Cardiology
Provider IdentifiersNPI Number: 1033297031
PECOS PAC ID: 4385558196
Enrollment ID: I20221227001924
Provider NameGiovanni Salerno
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1942242698
PECOS PAC ID: 8325947237
Enrollment ID: I20230113000401
Provider NameAmy Gryder
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1407579931
PECOS PAC ID: 0840669651
Enrollment ID: I20230627003082
Provider NameIan Lloyd Ruiz Baccay
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1093496069
PECOS PAC ID: 7315300993
Enrollment ID: I20230830000577
Provider NameDavid Jenkins
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1639524283
PECOS PAC ID: 5890088835
Enrollment ID: I20230901002959
Provider NameRupinder Singh Sekhon
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1568090397
PECOS PAC ID: 6608222799
Enrollment ID: I20231025003511
Provider NameKanwaldeep Kaur Virk
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1124648142
PECOS PAC ID: 7517315229
Enrollment ID: I20231117002976

Reviews and Comments


Surgery in Bullhead City, AZ

Beneze Medical Group
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 3003 Highway 95, Suite G73, Bullhead City, AZ 86442
Phone: 928-758-7700    Fax: 928-758-5700
Dadra Community Care Pc
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 3706 Highway 95 Ste 101, Bullhead City, AZ 86442
Phone: 928-201-9286    Fax: 928-219-4610
Aleracare Aic Llc
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 2065 Highway 95, Bullhead City, AZ 86442
Phone: 480-716-5820    Fax: 480-716-5820
River Cities Community Clinic Inc.
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 813 Hancock Rd, Suite 2, Bullhead City, AZ 86442
Phone: 928-704-9700    
All Wellness Medical Center Llc
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 2500 Canyon Rd Ste A1, Bullhead City, AZ 86442
Phone: 928-704-4499    Fax: 928-704-4949
All Women's Regional Medical Center, Pc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 2500 Canyon Rd, Ste A1, Bullhead City, AZ 86442
Phone: 928-704-4499    Fax: 928-704-4949
Dadra Hospital Medicine Pc
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 3706 Highway 95 Ste 101, Bullhead City, AZ 86442
Phone: 928-201-9286    Fax: 928-219-4610

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.