Wilbur Knowlton Freeman Iii, DO | |
13460 N 94th Drive Ste. J-1, Peoria, AZ 85381-4246 | |
(623) 876-8816 | |
(623) 298-0168 |
Full Name | Wilbur Knowlton Freeman Iii |
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Gender | Male |
Speciality | Internal Medicine - Cardiovascular Disease |
Location | 13460 N 94th Drive Ste. J-1, Peoria, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1003293697 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RC0001X | Internal Medicine - Clinical Cardiac Electrophysiology | 10147 (Arizona) | Secondary |
207RC0000X | Internal Medicine - Cardiovascular Disease | 10147 (Arizona) | Primary |
Entity Name | The Physician Network |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437184652 PECOS PAC ID: 3476453267 Enrollment ID: O20040128001100 |
Entity Name | Chi Health Clinic Specialty Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285138065 PECOS PAC ID: 4789098443 Enrollment ID: O20210121000492 |
Mailing Address | Practice Location Address |
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Wilbur Knowlton Freeman Iii, DO 13460 N 94th Drive Ste. J-1, Peoria, AZ 85381-4246 Ph: (623) 876-8816 | Wilbur Knowlton Freeman Iii, DO 13460 N 94th Drive Ste. J-1, Peoria, AZ 85381-4246 Ph: (623) 876-8816 |
Moustafa Banna, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 13460 N 94th Dr Ste J1, Peoria, AZ 85381 Phone: 623-876-8816 Fax: 623-298-0168 | |
Dr. Akshay Vijay Shah, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 14155 N 83rd Ave, Suite 122, Peoria, AZ 85381 Phone: 623-773-1161 Fax: 623-773-1181 | |
Brent Smoots, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 15525 N 83rd Ave Ste 104, Peoria, AZ 85382 Phone: 877-809-5092 | |
Gilbert Ortega, M.D. Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 13965 N 75th Ave, Peoria, AZ 85381 Phone: 602-734-0252 | |
Manoj Rawal, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 13460 N 94th Drive, Ste J-1, Peoria, AZ 85381 Phone: 623-876-8816 Fax: 623-298-0168 | |
Dr. Robert R Orr, D.O. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 9171 W Thunderbird Rd, Suite 101, Peoria, AZ 85381 Phone: 623-815-7800 Fax: 623-815-7900 |