NPI: 1053594275 · LAKE HAVASU CITY, AZ 86403 · Family Medicine Physician · NPI assigned 12/11/2007
| Authorized Official | TIBBETTS, TERESA (OWNER) |
| NPI Enumeration Date | 12/11/2007 |
Other providers sharing the same authorized official: TIBBETTS, TERESA
| Provider | City | State | Total Paid |
|---|---|---|---|
| CORNERSTONE FAMILY HEALTHCARE | LAKE HAVASU CITY | AZ | $147K |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 71 | $4K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 71 | 68 | $4K |