Dr Kenneth George Flanagan, MD | |
14200 W Celebrate Life Way, Goodyear, AZ 85338-3007 | |
(623) 207-3000 | |
(623) 207-3717 |
Full Name | Dr Kenneth George Flanagan |
---|---|
Gender | Male |
Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
Location | 14200 W Celebrate Life Way, Goodyear, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760464853 | NPI | - | NPPES |
23652 | Other | AZ | MEDICAL LIC |
DR.0053599 | Other | CO | MEDICAL LIC |
G-042072 | Other | CA | MED LIC |
Entity Name | Old Pueblo Healthcare Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306890793 PECOS PAC ID: 4981607512 Enrollment ID: O20060821000095 |
Entity Name | Ctca Physicians Group Of Arizona Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609026806 PECOS PAC ID: 2264593474 Enrollment ID: O20081205000793 |
Mailing Address | Practice Location Address |
---|---|
Dr Kenneth George Flanagan, MD 14200 W Celebrate Life Way, Goodyear, AZ 85338-3007 Ph: (623) 207-3000 | Dr Kenneth George Flanagan, MD 14200 W Celebrate Life Way, Goodyear, AZ 85338-3007 Ph: (623) 207-3000 |
Arti Easwar, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 14200 W Celebrate Life Way, Goodyear, AZ 85338 Phone: 602-883-1274 | |
Dr. Diane Fernandez, M.D. Pathology Medicare: Medicare Enrolled Practice Location: 14200 W Celebrate Life Way, Goodyear, AZ 85338 Phone: 623-207-3000 | |
Shoib Sarwar, M.D., Pathology Medicare: Not Enrolled in Medicare Practice Location: 14200 W Celebrate Life Way, Goodyear, AZ 85338 Phone: 623-207-3000 Fax: 623-207-3003 |