Dr Darrell Wesley Ray, DO | |
37000 N Gantzel Rd, Queen Creek, AZ 85140-7303 | |
(480) 394-4066 | |
(480) 394-4574 |
Full Name | Dr Darrell Wesley Ray |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 5 Years |
Location | 37000 N Gantzel Rd, Queen Creek, 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 |
---|---|---|---|
1417410143 | NPI | - | NPPES |
OS17103 | Other | FL | FLORIDA BOARD OF OSTEOPATHIC MEDICINE |
10471 | Other | AZ | ARIZONA BOARD OF OSTEOPATHIC MEDICINE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | OS17103 (Florida) | Secondary |
207P00000X | Emergency Medicine | 10471 (Arizona) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Banner Ironwood Medical Center | Queen creek, AZ | Hospital |
Banner - University Medical Center Phoenix | Phoenix, AZ | Hospital |
Banner Goldfield Medical Center | Apache junction, AZ | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Emergency Professional Services Pc | 6901707272 | 70 |
Entity Name | Emergency Professional Services Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518984210 PECOS PAC ID: 6901707272 Enrollment ID: O20040119000693 |
Mailing Address | Practice Location Address |
---|---|
Dr Darrell Wesley Ray, DO 645 E Missouri Ave Ste 300, Phoenix, AZ 85012-1351 Ph: (480) 500-2540 | Dr Darrell Wesley Ray, DO 37000 N Gantzel Rd, Queen Creek, AZ 85140-7303 Ph: (480) 394-4066 |
Mr. Cory M Kovac, PA-C Emergency Medicine Medicare: Medicare Enrolled Practice Location: 19350 E Silver Creek Ln, Queen Creek, AZ 85142 Phone: 480-718-5400 Fax: 877-666-4624 | |
Dr. Jonathan Graff, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 20401 E Via De Palmas, Queen Creek, AZ 85142 Phone: 661-331-4125 | |
Robert D Stangl, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1237 W Cherrywood Dr, Queen Creek, AZ 85140 Phone: 316-208-6933 |