Dr Seneca Akasha Carrillo, MD | |
5102 W Campbell Ave, Maryvale Hospital, Phoenix, AZ 85031 | |
(623) 848-5000 | |
Not Available |
Full Name | Dr Seneca Akasha Carrillo |
---|---|
Gender | Female |
Speciality | Emergency Medicine |
Location | 5102 W Campbell Ave, 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 |
---|---|---|---|
1336107218 | NPI | - | NPPES |
3981220 | Other | AZ | EVERCARE GRP |
783721 | Medicaid | AZ | |
AW1436 | Other | AZ | HEALTHNET GRP |
AZ0728670 | Other | AZ | BLUE CROSS BLUE SHIELD GR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 31008 (Arizona) | Primary |
Entity Name | Chandler Emergency Medical Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104871961 PECOS PAC ID: 1658272968 Enrollment ID: O20040120000160 |
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 |
Mailing Address | Practice Location Address |
---|---|
Dr Seneca Akasha Carrillo, MD 1740 E Purdue Ave, Phoenix, AZ 85020 Ph: (602) 405-0801 | Dr Seneca Akasha Carrillo, MD 5102 W Campbell Ave, Maryvale Hospital, Phoenix, AZ 85031 Ph: (623) 848-5000 |
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 |