Teresa J Tibbetts M D LLC
NPI 1053594275ActiveOrganization· Family Medicine· Lake Havasu City, AZ
Family Medicine in Lake Havasu City, Arizona, registered in NPPES in December 2007. The authorized official on file is Teresa J. Tibbetts, MD, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1053594275 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 11, 2007 |
| Last updated in NPPES | Aug 5, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 27163 | AZ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (AZ) |
|---|
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