Coralee H. McKay, M.D., F.A.C.P.
Individual provider Active NPI Internal Medicine Physician · Bisbee, AZ
NPI 1720146178 · NPPES record last updated Feb 20, 2013
Key facts
- NPI
- 1720146178
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 17374 (AZ)
- Practice address
- 101 Cole Ave
Bisbee, AZ 85603-1327 - Phone
- (520) 432-5383
- NPI assigned
- Dec 5, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050929001057 | AZ | Practitioner - Internal Medicine | 0042245821 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17374 | AZ | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cigna Healthcare of Arizona, Inc. | Current |
Accepting new patients | |
| Cigna Health Care of Arizona Inc. | Current |
Accepting new patients |
Locations
7600 N 15th St
Ste 185
Phoenix, AZ 85020
Phone (602) 678-3131
8888 E Raintree Dr
Ste 300
Scottsdale, AZ 85260
Phone (602) 328-8400
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 17374 | AZ | Yes |
Addresses
Primary practice location
101 Cole Ave
Bisbee, AZ 85603-1327
Mailing address
101 Cole Ave
Bisbee, AZ 85603-1327
Phone (520) 432-5383
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 277584 | Medicaid | AZ |
Other providers in Bisbee, AZ
- Robert W. Luigs
- Luminaria, LLC
- Leala Adel Martinez
- Dennis G McAlpin
- Theresa M McEntee
- Amanda Mae McKeith
- Michael J Milazzo
- Miracles of a Second Chance Inc
- Miracles of a Second Chance Inc
- Anna Claire Moga
All providers in Bisbee, AZ · Internal Medicine Physician in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 20, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.