Dr Kenneth James Westrate, MD | |
12033 Agency Rd, Parker, AZ 85344-7718 | |
(928) 669-2137 | |
(928) 669-3131 |
Full Name | Dr Kenneth James Westrate |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 12033 Agency Rd, Parker, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568564326 | NPI | - | NPPES |
717845 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 4301046165 (Michigan) | Primary |
208000000X | Pediatrics | 4301046165 (Michigan) | Secondary |
208D00000X | General Practice | 4301046165 (Michigan) | Secondary |
Entity Name | Dhhs Ihs Phoenix Area |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265719934 PECOS PAC ID: 7810163011 Enrollment ID: O20120109000961 |
Mailing Address | Practice Location Address |
---|---|
Dr Kenneth James Westrate, MD 1310 Calimesa Ct, Lake Havasu City, AZ 86406-8045 Ph: (616) 855-0526 | Dr Kenneth James Westrate, MD 12033 Agency Rd, Parker, AZ 85344-7718 Ph: (928) 669-2137 |
Dr. Paul Robert Hladon, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1200 W Mohave Rd, Emergency Department, Parker, AZ 85344 Phone: 800-444-7009 Fax: 800-305-3233 | |
Emily Veltus, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 12033 W Agency Ave, Parker, AZ 85344 Phone: 928-669-2137 | |
Dr. Joseph Charles Proctor Sr., D.O. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1200 W Mohave Rd, Parker, AZ 85344 Phone: 928-669-7420 |