Dr Eric Vance Hastriter, MD | |
5779 E Mayo Blvd, Phoenix, AZ 85054-4502 | |
(480) 301-8000 | |
Not Available |
Full Name | Dr Eric Vance Hastriter |
---|---|
Gender | Male |
Speciality | Psychiatry & Neurology - Neurology |
Location | 5779 E Mayo Blvd, Phoenix, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740381920 | NPI | - | NPPES |
521071 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 2006-01503 (North Carolina) | Secondary |
2084N0400X | Psychiatry & Neurology - Neurology | 43021 (Arizona) | Primary |
Entity Name | Phoenix Children's Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922112044 PECOS PAC ID: 0446278584 Enrollment ID: O20051107000704 |
Mailing Address | Practice Location Address |
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Dr Eric Vance Hastriter, MD 5779 E Mayo Blvd, Phoenix, AZ 85054-4502 Ph: (480) 301-8000 | Dr Eric Vance Hastriter, MD 5779 E Mayo Blvd, Phoenix, AZ 85054-4502 Ph: (480) 301-8000 |
Dr. George David Goldberg, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2145 E Kaler Dr, Phoenix, AZ 85020 Phone: 602-943-2400 | |
Andrea Oliver Skelton, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 16620 N 40th St Ste H4, Phoenix, AZ 85032 Phone: 602-464-9576 Fax: 602-626-8901 | |
Mr. Joseph Andrew Vitagliano, PA-C Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1110 E Missouri Ave Ste 110, Phoenix, AZ 85014 Phone: 480-542-8202 | |
Robin Laurie Mcfarlane, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1111 E Mcdowell Rd, Phoenix, AZ 85006 Phone: 602-839-2266 | |
Kevin Yang, Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2601 E Roosevelt St, Phoenix, AZ 85008 Phone: 602-344-5011 | |
Dr. Michael A Stein, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 240 W Thomas Rd # 404, Phoenix, AZ 85013 Phone: 602-406-6262 | |
Dr. Lee Ann Kelley, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 4602 N 16th St Ste 100, Phoenix, AZ 85016 Phone: 602-795-1834 Fax: 602-795-2608 |