Alie Riad Jreisat, MD in Kingman, AZ - Student in an Organized Health Care Education/Training Program

Alie Riad Jreisat, MD is a Student In An Organized Health Care Education/training Program physician based in Kingman, Arizona. Alie Riad Jreisat is licensed to practice in * (Not Available) (license number ) and his current practice location is 2202 N Stockton Hill Rd Ste 101, Kingman, Arizona. He can be reached at his office (for appointments etc.) via phone at (928) 757-2101.

NPI number for Alie Riad Jreisat is 1578130555 and his current mailing address is 734 Country Club Dr, Kingman, Arizona. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1578130555.

Contact Information

	Alie Riad Jreisat, MD
	2202 N Stockton Hill Rd Ste 101, Kingman, AZ 86401-4622
	(928) 757-2101
	Not Available

Physician's Profile

Full Name	Alie Riad Jreisat
Gender	Male
Speciality	Student In An Organized Health Care Education/training Program
Location	2202 N Stockton Hill Rd Ste 101, Kingman, Arizona
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1578130555
Provider Enumeration Date: 06/08/2021
Last Update Date: 06/22/2021

Medical Identifiers

Medical identifiers for Alie Riad Jreisat such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578130555	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	R78878 (Arizona)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Alie Riad Jreisat is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Alie Riad Jreisat, MD 734 Country Club Dr, Kingman, AZ 86401-3971 Ph: (708) 466-2700	Alie Riad Jreisat, MD 2202 N Stockton Hill Rd Ste 101, Kingman, AZ 86401-4622 Ph: (928) 757-2101

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Alie Riad Jreisat, MD - Student in an Organized Health Care Education/Training Program in Kingman, AZ