Dr Kevin Wayne Potter, DO | |
7330 N 99th Ave Ste 200, Glendale, AZ 85307-3018 | |
(602) 406-4786 | |
(916) 636-4358 |
Full Name | Dr Kevin Wayne Potter |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 21 Years |
Location | 7330 N 99th Ave Ste 200, Glendale, 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 |
---|---|---|---|
1831355643 | NPI | - | NPPES |
Z199540 | Other | AZ | MEDICARE |
445137 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 005313 (Arizona) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St. Joseph's Hospital And Medical Center | Phoenix, AZ | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Sjhmc Physician Services | 4486646197 | 547 |
Entity Name | Sjhmc Physician Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326098005 PECOS PAC ID: 4486646197 Enrollment ID: O20040401001189 |
Entity Name | St. Joseph's Hospital And Medical Center C/o Dignity Health |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255382412 PECOS PAC ID: 6709863178 Enrollment ID: O20040702000601 |
Mailing Address | Practice Location Address |
---|---|
Dr Kevin Wayne Potter, DO Po Box 33269, Phoenix, AZ 85067-3269 Ph: (602) 406-4786 | Dr Kevin Wayne Potter, DO 7330 N 99th Ave Ste 200, Glendale, AZ 85307-3018 Ph: (602) 406-4786 |
Joseph S Janik, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 5310 W Thunderbird Rd, Suite 110, Glendale, AZ 85306 Phone: 602-865-4065 Fax: 602-865-6100 | |
Layne C. Sandridge, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 18700 N 64th Dr Ste 105a, Glendale, AZ 85308 Phone: 623-688-5075 Fax: 623-688-5075 | |
Sivakami Brenda Moorthy, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 5757 W Thunderbird Rd, E351, Glendale, AZ 85306 Phone: 602-374-3440 Fax: 602-374-3441 | |
Dr. Lannery Sioeli Lauvao, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 18555 N 79th Ave Ste B101, Glendale, AZ 85308 Phone: 623-512-4326 Fax: 623-594-2252 | |
Dr. Emily Welker, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 5810 W Beverly Ln, Glendale, AZ 85306 Phone: 623-312-3000 Fax: 623-312-3060 | |
Karthik Raghavan, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 5700 W Olive Ave Ste 106, Glendale, AZ 85302 Phone: 623-377-7011 Fax: 623-344-8353 | |
Ronald L. Bauer, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 6320 W Union Hills Dr Ste 1600b, Glendale, AZ 85308 Phone: 602-277-4868 Fax: 602-230-9350 |