Dr Jack Hawks, DO | |
9191 W. Thunderbird Rd., Suite D-105, Peoria, AZ 85381-4816 | |
(623) 849-3811 | |
(623) 849-5221 |
Full Name | Dr Jack Hawks |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 9191 W. Thunderbird Rd., Peoria, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194835660 | NPI | - | NPPES |
950982 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 4049 (Arizona) | Primary |
Entity Name | Ceb Capital Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750754982 PECOS PAC ID: 0244537561 Enrollment ID: O20160330002570 |
Mailing Address | Practice Location Address |
---|---|
Dr Jack Hawks, DO 9191 W. Thunderbird Rd., Suite D-105, Peoria, AZ 85381-4816 Ph: (623) 849-3811 | Dr Jack Hawks, DO 9191 W. Thunderbird Rd., Suite D-105, Peoria, AZ 85381-4816 Ph: (623) 849-3811 |
Dr. Ivan Michael Filner, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 15182 N 75th Ave, 180, Peoria, AZ 85381 Phone: 623-487-3334 Fax: 623-487-3656 | |
Dr. Arlene D Conte, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9401 W Thunderbird Rd, Ste 155, Peoria, AZ 85381 Phone: 623-249-2100 Fax: 623-476-7305 | |
Dr. Damien Arafiles, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 9000 W Thunderbird Rd Ste 110, Peoria, AZ 85381 Phone: 855-776-7266 | |
Oliver J Harper, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 13640 N Plaza Del Rio Blvd, Ste 210, Peoria, AZ 85381 Phone: 623-876-3830 Fax: 623-876-3934 | |
Dr. Stephen F Ortaldo, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 7400 W Olive Ave, Peoria, AZ 85345 Phone: 623-487-8598 | |
Redentor T Espiritu, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 7147 W Softwind Dr, Peoria, AZ 85383 Phone: 623-444-4351 Fax: 623-234-9932 | |
Chase Fauer, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 7831 W Deer Valley Rd, Peoria, AZ 85382 Phone: 623-312-2265 |