Dr Kenneth J Mishark, MD | |
5777 E Mayo Blvd, Phoenix, AZ 85054 | |
(480) 301-8000 | |
Not Available |
Full Name | Dr Kenneth J Mishark |
---|---|
Gender | Male |
Speciality | Hospitalist |
Experience | 36 Years |
Location | 5777 E Mayo Blvd, Phoenix, 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 |
---|---|---|---|
1780667725 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208M00000X | Hospitalist | 32703 (Minnesota) | Secondary |
208M00000X | Hospitalist | 25611 (Arizona) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mayo Clinic Hospital | Phoenix, AZ | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mayo Clinic - Arizona | 7012829930 | 1400 |
Entity Name | Mayo Clinic Arizona |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558332494 PECOS PAC ID: 7012829930 Enrollment ID: O20031105000782 |
Mailing Address | Practice Location Address |
---|---|
Dr Kenneth J Mishark, MD 5777 E Mayo Blvd, Phoenix, AZ 85054-4502 Ph: (480) 301-8000 | Dr Kenneth J Mishark, MD 5777 E Mayo Blvd, Phoenix, AZ 85054 Ph: (480) 301-8000 |
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