Danny A Nelson, MD | |
13943 N 91st Ave, C-101, Peoria, AZ 85381-3687 | |
(623) 760-9449 | |
(623) 974-9351 |
Full Name | Danny A Nelson |
---|---|
Gender | Male |
Speciality | Dermatology |
Location | 13943 N 91st Ave, Peoria, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891743464 | NPI | - | NPPES |
1891743464 | Other | AZ | AHCCCS |
AZ0323590 | Other | AZ | BLUE CROSS BLUE SHIELD |
1510096 | Other | AZ | UNITED HEALTHCARE |
0839376 | Other | AZ | AETNA |
1Z3196 | Other | AZ | HEALTH NET |
001510096 | Other | AZ | EVERCARE |
WCHTR02 | Other | MEDICARE ID | |
070003070 | Other | AZ | RAILROAD MEDICARE |
347551 | Medicaid | AZ | |
188961600 | Other | AZ | DEPT OF LABOR WORK COMP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | 17497 (Arizona) | Primary |
Entity Name | Southwest Skin Specialists Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174521926 PECOS PAC ID: 9739079864 Enrollment ID: O20040319001063 |
Mailing Address | Practice Location Address |
---|---|
Danny A Nelson, MD 13943 N 91st Ave, C-101, Peoria, AZ 85381-3687 Ph: (623) 972-3992 | Danny A Nelson, MD 13943 N 91st Ave, C-101, Peoria, AZ 85381-3687 Ph: (623) 760-9449 |
Lori-ann R Wilcox, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 13943 N 91st Ave, C-101, Peoria, AZ 85381 Phone: 623-760-9449 Fax: 623-974-9351 | |
Deborah Zell, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 13943 N 91st Ave, #c-1, Peoria, AZ 85381 Phone: 623-972-3992 Fax: 623-583-4074 | |
Mary F Fredenberg, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 14155 N 83rd Ave, Suite #110, Peoria, AZ 85381 Phone: 623-215-0911 Fax: 623-215-0912 | |
Dr. Julie Jacobs, D.O. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 14155 N 83rd Ave Ste 110, Peoria, AZ 85381 Phone: 623-888-8145 | |
Dr. Troy C Ellis, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 13943 N 91st Ave, #c-101, Peoria, AZ 85381 Phone: 623-760-9449 Fax: 623-974-9351 | |
Douglas Heiner, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 14155 N 83rd Ave Ste 110, Peoria, AZ 85381 Phone: 623-215-0911 | |
Dr. Rosemary Theresa Depaoli, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 7767 W Deer Valley Rd Ste 140, Peoria, AZ 85382 Phone: 623-487-3003 Fax: 623-889-7137 |