Dr Brian Patrick Hagerty, MD | |
5301 E Grant Road, Tucson Medical Center Emergency Department, Tucson, AZ 85712-2805 | |
(520) 324-1922 | |
(520) 324-1088 |
Full Name | Dr Brian Patrick Hagerty |
---|---|
Gender | Male |
Speciality | Pediatrics - Pediatric Emergency Medicine |
Location | 5301 E Grant Road, Tucson, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134201189 | NPI | - | NPPES |
288200-07 | Medicaid | AZ | |
288200 | Other | AZ | AHCCCS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080P0204X | Pediatrics - Pediatric Emergency Medicine | 15402 (Arizona) | Primary |
Entity Name | Ies Arizona Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821752213 PECOS PAC ID: 7810382884 Enrollment ID: O20220310001059 |
Mailing Address | Practice Location Address |
---|---|
Dr Brian Patrick Hagerty, MD 5700 E Pima Street, Suite B, Tucson, AZ 85712-5601 Ph: (520) 382-2819 | Dr Brian Patrick Hagerty, MD 5301 E Grant Road, Tucson Medical Center Emergency Department, Tucson, AZ 85712-2805 Ph: (520) 324-1922 |
Dr. Sivapriya Ramakrishnan, M.D Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1628 North Alvernon Way, Tucson Central Pediatrics, Tucson, AZ 85712 Phone: 520-325-8000 | |
Ashley Azizi Assadi, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1501 N Campbell Ave, Tucson, AZ 85724 Phone: 520-626-7944 | |
Dr. Jessica Wright, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1625 N Campbell Ave, Tucson, AZ 85719 Phone: 520-694-0111 | |
Robert Serlin, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 6238 E Pima St, Tucson, AZ 85712 Phone: 520-290-0022 Fax: 520-290-0044 | |
Dr. Charles Hoffmeister, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2104 E Drachman St, Tucson, AZ 85719 Phone: 541-954-5666 | |
Monika Marta Lewanczyk, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1625 N Campbell Ave, Tucson, AZ 85719 Phone: 520-626-7644 | |
Dr. Scott Thomas Radomsky, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7507 E. Tanque Verde Road, 101, Tucson, AZ 85715 Phone: 520-722-2585 Fax: 520-722-1097 |