Dr Keith Pereira, MD | |
645 E Missouri Ave Ste 300, Phoenix, AZ 85012-1351 | |
(480) 207-4403 | |
Not Available |
Full Name | Dr Keith Pereira |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 645 E Missouri Ave Ste 300, 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 |
---|---|---|---|
1215981436 | NPI | - | NPPES |
32618 | Other | AZ | STATE LICENSE |
MD45253 | Other | IA | STATE LICENSE |
857477-01 | Medicaid | AZ | |
AZ0736120 | Other | AZ | BC/BS |
M12701 | Other | ID | STATE LICENSE |
146320 | Other | WI | STATE LICENSE |
28231 | Other | WV | STATE LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207PE0004X | Emergency Medicine - Emergency Medical Services | 32618 (Arizona) | Secondary |
207P00000X | Emergency Medicine | 32618 (Arizona) | Primary |
Entity Name | Chandler Emergency Medical Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104871961 PECOS PAC ID: 1658272968 Enrollment ID: O20040120000160 |
Mailing Address | Practice Location Address |
---|---|
Dr Keith Pereira, MD 645 E Missouri Ave Ste 300, Phoenix, AZ 85012-1351 Ph: () - | Dr Keith Pereira, MD 645 E Missouri Ave Ste 300, Phoenix, AZ 85012-1351 Ph: (480) 207-4403 |
Dr. Joel Philip Betz, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2601 E Roosevelt St, Phoenix, AZ 85008 Phone: 602-344-5411 | |
Beth Marie Ranney, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 645 E Missouri Ave Ste 300, Phoenix, AZ 85012 Phone: 480-500-2540 | |
Dr. Carrie Lynn Cook, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1111 E Mcdowell Rd, Phoenix, AZ 85006 Phone: 480-500-2540 Fax: 623-201-7954 | |
Joseph Choi, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2000 W Bethany Home Rd, Phoenix, AZ 85015 Phone: 602-249-0212 | |
Diana M Bui, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 5777 E Mayo Blvd, Phoenix, AZ 85054 Phone: 480-301-8000 | |
Dr. Diana Lynelle Dabell, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1300 N 12th St, Ste 301, Phoenix, AZ 85006 Phone: 602-839-6968 | |
Dr. Jason B Daniels, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5102 W Campbell Ave, Phoenix, AZ 85031 Phone: 623-848-5000 |