Dr Joseph A Gassen, MD | |
5131 E Southern Ave, Mesa, AZ 85206-2799 | |
(480) 833-5437 | |
(480) 833-9349 |
Full Name | Dr Joseph A Gassen |
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Gender | Male |
Speciality | Pediatrics |
Location | 5131 E Southern Ave, Mesa, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972586006 | NPI | - | NPPES |
009932953 | Medicaid | AL | |
04150085 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 18975 (Mississippi) | Secondary |
208M00000X | Hospitalist | 18975 (Mississippi) | Secondary |
208000000X | Pediatrics | 47682 (Arizona) | Primary |
Entity Name | Brown Calvanese Cameron Ltd |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275568479 PECOS PAC ID: 3577468347 Enrollment ID: O20050713000585 |
Entity Name | Pokroy Medical Group Of Nevada Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992809412 PECOS PAC ID: 7911037643 Enrollment ID: O20100607000694 |
Mailing Address | Practice Location Address |
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Dr Joseph A Gassen, MD 1919 E Thomas Rd Bldg 2108, 101, Phoenix, AZ 85016-7710 Ph: (602) 512-8029 | Dr Joseph A Gassen, MD 5131 E Southern Ave, Mesa, AZ 85206-2799 Ph: (480) 833-5437 |
Jyoti S. Lebonheur, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1840 S. Stapley Drive, Suite 101, Mesa, AZ 85204 Phone: 480-464-8500 | |
Dr. Eric Gabriel Gonzalez, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 616 E Southern Ave, #103, Mesa, AZ 85204 Phone: 602-569-3999 Fax: 602-569-3887 | |
Pacita Tee Opulencia, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 59 S Hibbert, Mesa, AZ 85210 Phone: 480-344-6226 Fax: 602-344-6201 | |
Dr. Daniel E Miga, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1432 S Dobson Rd Ste 512, Mesa, AZ 85202 Phone: 480-412-6336 Fax: 480-412-8013 | |
Naresh Reddivalla, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1432 S Dobson Rd Ste 107, Mesa, AZ 85202 Phone: 480-412-4100 | |
Dale W Guthrie, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4540 E Baseline Rd, Suite 108, Mesa, AZ 85206 Phone: 480-892-3880 Fax: 480-545-4551 | |
Dr. Leno Mammen Thomas, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1432 S Dobson Rd Ste 506, Mesa, AZ 85202 Phone: 480-412-6430 |