Dr Conrad Dizon Ballecer Iii, MD | |
500 W Thomas Rd Ste 400, Phoenix, AZ 85013-4238 | |
(602) 406-3874 | |
(602) 406-2335 |
Full Name | Dr Conrad Dizon Ballecer Iii |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 20 Years |
Location | 500 W Thomas Rd Ste 400, Phoenix, 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 |
---|---|---|---|
1689871188 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 81594 (Arizona) | Secondary |
208600000X | Surgery | 37738 (Arizona) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St. Joseph's Hospital And Medical Center | Phoenix, AZ | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Sjhmc Physician Services | 4486646197 | 547 |
Entity Name | Sjhmc Physician Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326098005 PECOS PAC ID: 4486646197 Enrollment ID: O20040401001189 |
Entity Name | St. Joseph's Hospital And Medical Center C/o Dignity Health |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255382412 PECOS PAC ID: 6709863178 Enrollment ID: O20040702000601 |
Mailing Address | Practice Location Address |
---|---|
Dr Conrad Dizon Ballecer Iii, MD Po Box 33269, Phoenix, AZ 85067-3269 Ph: (602) 406-4786 | Dr Conrad Dizon Ballecer Iii, MD 500 W Thomas Rd Ste 400, Phoenix, AZ 85013-4238 Ph: (602) 406-3874 |
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 |