Dr Brooke Grant Jeffy, MD | |
9500 E Ironwood Square Dr Ste 110, Scottsdale, AZ 85258-4582 | |
(480) 948-8400 | |
(480) 948-8401 |
Full Name | Dr Brooke Grant Jeffy |
---|---|
Gender | Female |
Speciality | Dermatology |
Location | 9500 E Ironwood Square Dr Ste 110, Scottsdale, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750416608 | NPI | - | NPPES |
773773 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | 46788 (Arizona) | Primary |
207N00000X | Dermatology | 40450 (Kentucky) | Secondary |
Entity Name | Alta Dermatology Group Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780801506 PECOS PAC ID: 4587656723 Enrollment ID: O20040330001528 |
Mailing Address | Practice Location Address |
---|---|
Dr Brooke Grant Jeffy, MD 9500 E Ironwood Square Dr Ste 110, Scottsdale, AZ 85258-4582 Ph: (480) 948-8400 | Dr Brooke Grant Jeffy, MD 9500 E Ironwood Square Dr Ste 110, Scottsdale, AZ 85258-4582 Ph: (480) 948-8400 |
Dr. Pamela Landsteiner Mundell, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 20201 N Scottsdale Healthcare Dr, Scottsdale, AZ 85255 Phone: 480-398-1550 Fax: 480-398-1551 | |
Dr. Anthony John Petelin, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 14275 N 87th St, Suite #110, Scottsdale, AZ 85260 Phone: 480-905-8485 Fax: 480-905-7274 | |
Dr. Gary Anthony Mccracken, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 14275 N 87th St, Suite 110, Scottsdale, AZ 85260 Phone: 480-905-8485 Fax: 480-905-7274 | |
Paul M Petelin Sr., MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 14275 N 87th St, Ste 110, Scottsdale, AZ 85260 Phone: 480-905-8485 Fax: 480-905-7274 | |
Dr. Mark V Dahl, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 13400 E Shea Blvd, Scottsdale, AZ 85259 Phone: 480-301-8000 | |
Mark R Pittelkow, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 13400 E Shea Blvd, Scottsdale, AZ 85259 Phone: 480-301-8508 | |
Dr. Genevieve L Egnatios, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 11333 N Scottsdale Rd Ste 115, Scottsdale, AZ 85254 Phone: 480-998-1400 |