Theresa M McEntee, MD

Individual provider Active NPI Family Medicine Physician · Bisbee, AZ

NPI 1497741375 · NPPES record last updated Jul 13, 2026

Key facts

NPI
1497741375
Entity type
Individual (NPI type 1)
Primary specialty
Family Medicine Physician 207Q00000X
License
26574 (AZ)
Practice address
108 Arizona St
Bisbee, AZ 85603-1804
Phone
(520) 432-1145
Fax
(520) 432-1217
NPI assigned
Sep 26, 2005
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
26574AZMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chiricahua Community Health Centers, Inc. Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 26574 AZ Yes

Addresses

Primary practice location

108 Arizona St
Bisbee, AZ 85603-1804

Mailing address

310 Arizona St
Bisbee, AZ 85603-1502
Phone (520) 432-1145

Other identifiers

IdentifierTypeStateIssuer
432592MedicaidAZ

Other providers in Bisbee, AZ

All providers in Bisbee, AZ · Family Medicine Physician in Arizona

Sources for this page

Verify at the official NPI Registry.