Jack Anderson, MD | |
9787 N 91st St Ste 101, Scottsdale, AZ 85258-5088 | |
(480) 563-6400 | |
(480) 563-8009 |
Full Name | Jack Anderson |
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Gender | Male |
Speciality | Pain Medicine - Pain Medicine |
Location | 9787 N 91st St Ste 101, Scottsdale, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659338887 | NPI | - | NPPES |
200055660A | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 24265 (Oklahoma) | Secondary |
208VP0000X | Pain Medicine - Pain Medicine | 45727 (Arizona) | Primary |
Entity Name | Emergency Staffing Solutions Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477590974 PECOS PAC ID: 9830001650 Enrollment ID: O20050207000313 |
Entity Name | Ess Of Sallisaw, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215431069 PECOS PAC ID: 6002170578 Enrollment ID: O20180509000869 |
Mailing Address | Practice Location Address |
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Jack Anderson, MD 9787 N 91st St Ste 101, Scottsdale, AZ 85258-5088 Ph: (480) 563-6400 | Jack Anderson, MD 9787 N 91st St Ste 101, Scottsdale, AZ 85258-5088 Ph: (480) 563-6400 |
Paul J Lynch, MD Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 9787 N 91st St, Suite 101, Scottsdale, AZ 85258 Phone: 480-563-6400 Fax: 480-563-8009 | |
Jillian Maloney, MD Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 13400 E Shea Blvd, Scottsdale, AZ 85259 Phone: 480-301-8000 | |
Dr. Estelle R Farrell, DO Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 4921 E Bell Rd Ste 203, Scottsdale, AZ 85254 Phone: 480-955-1515 Fax: 844-287-5554 | |
Dr. Stephen Glacy, M.D. Pain Medicine Medicare: Not Enrolled in Medicare Practice Location: 9787 N 91st St, Suite 101, Scottsdale, AZ 85258 Phone: 480-860-8300 Fax: 480-860-8398 | |
Dr. Eric James Boyd, MD Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 17300 N Perimeter Dr Ste 150, Scottsdale, AZ 85255 Phone: 602-734-1834 Fax: 602-734-1835 | |
Samrath Singh, Pain Medicine Medicare: Medicare Enrolled Practice Location: 18511 N Scottsdale Rd Ste 202, Scottsdale, AZ 85255 Phone: 480-306-7242 | |
Dr. Steve Fanto, MD Pain Medicine Medicare: Not Enrolled in Medicare Practice Location: 7320 E Deer Valley, J100, Scottsdale, AZ 85255 Phone: 480-502-0250 Fax: 480-596-2490 |