Ian J Lewis, DO | |
7219 N Litchfield Rd, Glendale, AZ 85309-1529 | |
(623) 856-7579 | |
(623) 856-4433 |
Full Name | Ian J Lewis |
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Gender | Male |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 7219 N Litchfield Rd, Glendale, 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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1194162453 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 1352 (Nebraska) | Secondary |
2084P0800X | Psychiatry & Neurology - Psychiatry | CDRH.0000079 (Colorado) | Primary |
Entity Name | Poudre Valley Health Care Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760492714 PECOS PAC ID: 7618880709 Enrollment ID: O20031105000791 |
Mailing Address | Practice Location Address |
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Ian J Lewis, DO 6900 Alden Dr, Cheyenne, WY 82005-3906 Ph: (307) 773-2998 | Ian J Lewis, DO 7219 N Litchfield Rd, Glendale, AZ 85309-1529 Ph: (623) 856-7579 |
Thomas John Knutson, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 11851 N 51st Ave, Glendale, AZ 85304 Phone: 480-882-4545 Fax: 480-882-5814 | |
Dr. Leticia G Jacinto, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 17100 N 67th Ave, Ste 401, Glendale, AZ 85308 Phone: 602-795-8698 Fax: 602-795-8699 | |
James Earnest Campbell, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 4747 W Country Gables Dr., Glendale, AZ 85306 Phone: 602-439-2400 Fax: 602-439-1414 | |
Dr. Carl R Sonder, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 18301 N 79th Ave, Ste C126, Glendale, AZ 85308 Phone: 623-486-3346 Fax: 623-486-3747 | |
Frederick Chapman Green Jr., M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 8802 N 61st Ave, Glendale, AZ 85302 Phone: 623-934-1991 Fax: 480-733-3031 | |
Dr. Houshang Semino, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 17215 N 72nd Dr, D-140a, Glendale, AZ 85308 Phone: 623-487-9630 Fax: 623-487-9631 | |
Dr. Valerie Leah Sharf, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 18701 N 67th Ave, Glendale, AZ 85308 Phone: 623-561-1000 |