Dr Grant T Fankhauser, MD | |
9192 W Union Hills Dr, Peoria, AZ 85382-8208 | |
(602) 374-4101 | |
(602) 441-0522 |
Full Name | Dr Grant T Fankhauser |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 18 Years |
Location | 9192 W Union Hills Dr, Peoria, 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 |
---|---|---|---|
1831121532 | NPI | - | NPPES |
705707 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 37503 (Arizona) | Secondary |
2086S0129X | Surgery - Vascular Surgery | 37503 (Arizona) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Banner Desert Medical Center | Mesa, AZ | Hospital |
Banner Boswell Medical Center | Sun city, AZ | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Comprehensive Interventional Care Centers Pllc | 7810125267 | 20 |
Comprehensive Interventional Care Centers Pllc | 7810125267 | 20 |
Comprehensive Interventional Care Centers Pllc | 7810125267 | 20 |
Entity Name | Comprehensive Interventional Care Centers Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568803047 PECOS PAC ID: 7810125267 Enrollment ID: O20140111000030 |
Mailing Address | Practice Location Address |
---|---|
Dr Grant T Fankhauser, MD 9192 W Union Hills Dr, Peoria, AZ 85382-8208 Ph: (602) 374-4101 | Dr Grant T Fankhauser, MD 9192 W Union Hills Dr, Peoria, AZ 85382-8208 Ph: (602) 374-4101 |
Dr. Eric L Thomas, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 14155 N 83rd Ave Ste A105, Peoria, AZ 85381 Phone: 623-486-7700 Fax: 623-486-7703 | |
Jordan J Glenn, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 7727 W Deer Valley Rd Ste 220, Peoria, AZ 85382 Phone: 602-843-8317 Fax: 602-843-9091 | |
Jon R Hillegas, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 13640 N Plaza Del Rio Blvd, Ste 310, Peoria, AZ 85381 Phone: 623-876-3910 Fax: 623-876-6953 | |
John J Brothwell, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 9856 W Villa Lindo Dr, Peoria, AZ 85383 Phone: 623-979-4341 | |
Sean Benedict D'souza, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 9192 W Union Hills Dr, Peoria, AZ 85382 Phone: 602-374-4101 Fax: 602-441-0522 | |
Stanley J Goldberg, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 13640 N Plaza Del Rio Blvd, Ste 310, Peoria, AZ 85381 Phone: 623-876-3910 Fax: 623-285-2612 | |
Ames Yee, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 13640 N Plaza Del Rio Blvd, Ste 310, Peoria, AZ 85381 Phone: 623-876-3910 Fax: 623-876-6953 |