Dr Randel C Davis, DO | |
2000 W Bethany Home Rd, Phoenix, AZ 85015-2443 | |
(602) 249-0212 | |
Not Available |
Full Name | Dr Randel C Davis |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 2000 W Bethany Home Rd, Phoenix, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265415392 | NPI | - | NPPES |
AW1436 | Other | AZ | HEALTHNET - GROUP # |
453051001 | Other | AZ | GROUP HEALTH - GROUP # |
860373636 | Other | AZ | HUMANA - GROUP # |
AZ0728670 | Other | AZ | BLUE CROSS BLUE SHIELD |
078817 | Medicaid | AZ | |
3981220 | Other | AZ | EVERCARE - GROUP # |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 2484 (Arizona) | Primary |
Entity Name | Cep America- Arizona, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780202804 PECOS PAC ID: 1850541970 Enrollment ID: O20121026000403 |
Mailing Address | Practice Location Address |
---|---|
Dr Randel C Davis, DO 15623 S 16th St, Phoenix, AZ 85048-8632 Ph: (480) 460-4525 | Dr Randel C Davis, DO 2000 W Bethany Home Rd, Phoenix, AZ 85015-2443 Ph: (602) 249-0212 |
Dr. Joel Philip Betz, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2601 E Roosevelt St, Phoenix, AZ 85008 Phone: 602-344-5411 | |
Beth Marie Ranney, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 645 E Missouri Ave Ste 300, Phoenix, AZ 85012 Phone: 480-500-2540 | |
Dr. Carrie Lynn Cook, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1111 E Mcdowell Rd, Phoenix, AZ 85006 Phone: 480-500-2540 Fax: 623-201-7954 | |
Joseph Choi, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2000 W Bethany Home Rd, Phoenix, AZ 85015 Phone: 602-249-0212 | |
Diana M Bui, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 5777 E Mayo Blvd, Phoenix, AZ 85054 Phone: 480-301-8000 | |
Dr. Diana Lynelle Dabell, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1300 N 12th St, Ste 301, Phoenix, AZ 85006 Phone: 602-839-6968 | |
Dr. Jason B Daniels, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5102 W Campbell Ave, Phoenix, AZ 85031 Phone: 623-848-5000 |