Adam Keith Boettcher, MD | |
1020 N San Francisco St Ste 200, Flagstaff, AZ 86001-3281 | |
(928) 774-2300 | |
Not Available |
Full Name | Adam Keith Boettcher |
---|---|
Gender | Male |
Speciality | Plastic And Reconstructive Surgery |
Experience | 17 Years |
Location | 1020 N San Francisco St Ste 200, Flagstaff, Arizona |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134325012 | NPI | - | NPPES |
P707631 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0122X | Surgery - Plastic And Reconstructive Surgery | 45896 (Arizona) | Secondary |
208600000X | Surgery | 4301090356 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Flagstaff Medical Center | Flagstaff, AZ | Hospital |
Verde Valley Medical Center | Cottonwood, AZ | Hospital |
Yavapai Regional Medical Center | Prescott, AZ | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Plastic Surgeons Of Northern Arizona, Pllc | 8224922182 | 5 |
Entity Name | Plastic Surgeons Of Northern Arizona, Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871531418 PECOS PAC ID: 8224922182 Enrollment ID: O20040211000614 |
Entity Name | Northern Arizona Healthcare Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669914552 PECOS PAC ID: 3577473362 Enrollment ID: O20170801003409 |
Mailing Address | Practice Location Address |
---|---|
Adam Keith Boettcher, MD 1020 N San Francisco St Ste 200, Flagstaff, AZ 86001-3281 Ph: (928) 774-2300 | Adam Keith Boettcher, MD 1020 N San Francisco St Ste 200, Flagstaff, AZ 86001-3281 Ph: (928) 774-2300 |
Daniel E Wesche, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 77 W Forest Ave, Suite 201, Flagstaff, AZ 86001 Phone: 928-773-2222 Fax: 928-773-2598 | |
Nicole Renee Sydow, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1215 N Beaver St, Suite 203, Flagstaff, AZ 86001 Phone: 928-773-2150 | |
Kate Preston, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 77 W Forest Ave Ste 201, Flagstaff, AZ 86001 Phone: 928-773-2222 Fax: 928-773-2598 | |
Dr. Douglas John Carlon, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1895 N Jasper Dr Ste 1, Flagstaff, AZ 86001 Phone: 928-773-2332 Fax: 623-524-8959 | |
Eric Davis Kendle, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 77 W Forest Ave, Suite 202, Flagstaff, AZ 86001 Phone: 928-773-2500 Fax: 928-773-2502 | |
Robert A Berger, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 77 W Forest Ave Ste 201, Flagstaff, AZ 86001 Phone: 928-773-2222 Fax: 928-773-2598 |