| Kevin Todd Stephan, | |
|
13471 W Cornerstone Blvd, Goodyear, AZ 85395 | |
| (877) 809-5092 | |
| Not Available |
| Full Name | Kevin Todd Stephan |
|---|---|
| Gender | Male |
| Speciality | Infectious Disease |
| Experience | 35 Years |
| Location | 13471 W Cornerstone Blvd, Goodyear, Arizona |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942228259 | NPI | - | NPPES |
| 435021 | Medicaid | AZ | |
| 259393900 | Medicaid | MN | |
| 31474500 | Medicaid | WI |
| Facility Name | Location | Facility Type |
|---|---|---|
| Saint Alphonsus Regional Medical Center | Boise, ID | Hospital |
| Saint Alphonsus Medical Center - Nampa | Nampa, ID | Hospital |
| Essentia Health St Mary's Medical Center | Duluth, MN | Hospital |
| Marquette General Hospital | Marquette, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| The Duluth Clinic Ltd | 2567374283 | 949 |
| Ctca Physicians Group Of Arizona Llc | 2264593474 | 110 |
| Valley View Hospital Association | 1850294778 | 171 |
| Dlp Marquette Physician Practices Inc | 9931359601 | 151 |
| Saint Alphonsus Regional Medical Center Inc | 3476462359 | 533 |
| Entity Name | The Duluth Clinic Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902563638 PECOS PAC ID: 2567374283 Enrollment ID: O20031103000229 |
| Entity Name | Einfectionmd Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417437526 PECOS PAC ID: 6406191543 Enrollment ID: O20211217001807 |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin Todd Stephan, 9520 W Palm Ln Ste 200, Phoenix, AZ 85037-4403 Ph: (623) 583-3001 | Kevin Todd Stephan, 13471 W Cornerstone Blvd, Goodyear, AZ 85395 Ph: (877) 809-5092 |
Dr. Edward Markman, D.O. Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 1325 N Litchfield Rd Ste 110, Goodyear, AZ 85395 Phone: 623-935-9494 Fax: 623-935-9292 | |
Dr. Mark Edward Burnes, MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 14940 West Indian School Road, Suite 400, Goodyear, AZ 85395 Phone: 623-935-3688 Fax: 888-628-9545 | |
Dr. Vivek Khemka, MD Infectious Disease Medicare: Medicare Enrolled Practice Location: 14200 W Celebrate Life Way, Goodyear, AZ 85338 Phone: 623-207-3000 | |
William Nassour, MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 13555 W Mcdowell Rd Ste 205, Goodyear, AZ 85395 Phone: 623-295-1190 Fax: 602-429-8595 | |
Paramvir Singh Sidhu, MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 13555 W Mcdowell Rd, Suite 209, Goodyear, AZ 85395 Phone: 623-512-4310 Fax: 623-512-4311 | |
Richard Pham, D.O. Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 1325 N Litchfield Rd Ste 130, Goodyear, AZ 85395 Phone: 623-204-3954 | |
Dr. Ronald W Kennett, D.O. Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 13555 W Mcdowell Rd, Suite 101, Goodyear, AZ 85395 Phone: 623-935-4700 Fax: 623-935-4707 |