Alicia Moana Taase, | |
1441 N 12th St, Phoenix, AZ 85006 | |
(602) 521-5969 | |
(602) 521-5904 |
Full Name | Alicia Moana Taase |
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Gender | Female |
Speciality | Surgery |
Location | 1441 N 12th St, Phoenix, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1083104368 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | R77024 (Arizona) | Primary |
Entity Name | Banner Physician Specialists Arizona Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316228802 PECOS PAC ID: 6204002272 Enrollment ID: O20111222000509 |
Entity Name | Banner - University Physician Specialists Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437529245 PECOS PAC ID: 5991008054 Enrollment ID: O20160122001476 |
Mailing Address | Practice Location Address |
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Alicia Moana Taase, 101 N 7th St Unit 209, Phoenix, AZ 85034-1055 Ph: () - | Alicia Moana Taase, 1441 N 12th St, Phoenix, AZ 85006 Ph: (602) 521-5969 |
Dr. Michael J Stumpf, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 20940 N. Tatum Blvd. Ste #350, Phoenix, AZ 85050 Phone: 844-436-7874 Fax: 877-828-6834 | |
Dr. Owen Thomas Mccabe, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2601 E Roosevelt St, Phoenix, AZ 85008 Phone: 602-344-5011 | |
Ms. Kathleen Dolores Van Leeuwen, MD Surgery Medicare: Medicare Enrolled Practice Location: 1919 E Thomas Rd, Phoenix, AZ 85016 Phone: 602-933-0016 Fax: 602-933-4309 | |
Charles E Castillo, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2320 N 3rd St, Phoenix, AZ 85004 Phone: 602-340-0201 Fax: 602-340-0367 | |
Dr. Jeromy Brink, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 6040 N 7th St Ste 105, Phoenix, AZ 85014 Phone: 602-277-7430 Fax: 602-279-5333 | |
Gaby A P Iskander, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2601 E Roosevelt St, Phoenix, AZ 85008 Phone: 602-344-5011 | |
Yafei Ouyang, MD Surgery Medicare: Medicare Enrolled Practice Location: 1441 N 12th St Fl 1, Phoenix, AZ 85006 Phone: 602-521-5981 |