Dr Kenneth Theriot, MD | |
4002 E Main St Ste 1, Mesa, AZ 85205-8612 | |
(480) 324-5421 | |
(480) 324-5459 |
Full Name | Dr Kenneth Theriot |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 17 Years |
Location | 4002 E Main St Ste 1, Mesa, 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 |
---|---|---|---|
1114177664 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 2008015177 (Missouri) | Secondary |
207L00000X | Anesthesiology | 44415 (Arizona) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Chandler Regional Medical Center | Chandler, AZ | Hospital |
Mercy Gilbert Medical Center | Gilbert, AZ | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Chandler Anesthesia Consultants Llc | 0648161810 | 58 |
Entity Name | Chandler Anesthesia Consultants Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881632552 PECOS PAC ID: 0648161810 Enrollment ID: O20040324001533 |
Entity Name | Anesthesia Partners Of Arizona Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619452901 PECOS PAC ID: 8628317179 Enrollment ID: O20190228001927 |
Mailing Address | Practice Location Address |
---|---|
Dr Kenneth Theriot, MD 18827 E Swan Dr, Queen Creek, AZ 85142-5314 Ph: (480) 275-8886 | Dr Kenneth Theriot, MD 4002 E Main St Ste 1, Mesa, AZ 85205-8612 Ph: (480) 324-5421 |
Dr. John G Meernik, M D Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 6247 E. Main Street, Suite 8, Mesa, AZ 85205 Phone: 480-981-9151 Fax: 480-981-0527 | |
Mark Murphy, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1400 S Dobson Rd, Mesa, AZ 85202 Phone: 480-835-3000 | |
Dr. Mikulkumar D Shah, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 6644 E Baywood Ave, Mesa, AZ 85206 Phone: 480-321-2000 | |
Timothy E Black, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1500 S Dobson Road, Suite 203, Mesa, AZ 85202 Phone: 480-844-7100 Fax: 480-512-5486 | |
Joseph M Levine, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1500 S Dobson Rd, Ste 203, Mesa, AZ 85202 Phone: 480-844-7100 Fax: 480-512-5486 | |
Robert Thomas, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1400 S Dobson Rd, Mesa, AZ 85202 Phone: 480-272-8411 Fax: 480-361-1435 | |
Todd G Peterson, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 6247 E. Main Street, Suite 8, Mesa, AZ 85205 Phone: 480-981-9151 Fax: 480-981-0527 |