Pankaj M Jain, MD | |
13555 W Mcdowell Rd, Suite 203, Goodyear, AZ 85395-2624 | |
(623) 512-4390 | |
(623) 512-4391 |
Full Name | Pankaj M Jain |
---|---|
Gender | Male |
Speciality | Urology |
Experience | 26 Years |
Location | 13555 W Mcdowell Rd, 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 |
---|---|---|---|
1730152422 | NPI | - | NPPES |
869117 | Medicaid | AZ | |
7755462 | Other | AZ | CIGNA |
AZ0760380 | Other | AZ | BLUE CROSS BLUE SHIELD |
11266362 | Other | AZ | CAQH |
7346552 | Other | AZ | AETNA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 32772 (Arizona) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Yavapai Regional Medical Center | Prescott, AZ | Hospital |
Arrowhead Hospital | Glendale, AZ | Hospital |
Chandler Regional Medical Center | Chandler, AZ | Hospital |
Banner Estrella Medical Center | Phoenix, AZ | Hospital |
Abrazo West Campus | Goodyear, AZ | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Yavapai Regional Medical Center Physician Care, Llc | 5294898987 | 119 |
Arizona Urology Llc | 9537566930 | 8 |
Entity Name | Yavapai Regional Medical Center Physician Care, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255582003 PECOS PAC ID: 5294898987 Enrollment ID: O20090106000798 |
Entity Name | Raghav Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598125791 PECOS PAC ID: 2466709274 Enrollment ID: O20180725002648 |
Entity Name | Arizona Urology Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770025439 PECOS PAC ID: 9537566930 Enrollment ID: O20210928002657 |
Mailing Address | Practice Location Address |
---|---|
Pankaj M Jain, MD 17560 N 75th Ave Ste 440, Glendale, AZ 85308-5968 Ph: (623) 512-4390 | Pankaj M Jain, MD 13555 W Mcdowell Rd, Suite 203, Goodyear, AZ 85395-2624 Ph: (623) 512-4390 |
Dr. Lindsay Marie Derus, Urology Medicare: Medicare Enrolled Practice Location: 13555 W Mcdowell Rd Ste 304, Goodyear, AZ 85395 Phone: 623-935-5522 Fax: 623-935-3220 | |
Vi Nghiep Hua, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 13555 W Mcdowell Rd, Suite 304, Goodyear, AZ 85395 Phone: 623-935-5522 Fax: 623-935-3220 | |
Stephen Larsen, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 13555 W Mcdowell Rd, 302, Goodyear, AZ 85395 Phone: 623-512-4390 Fax: 623-512-4391 | |
David K Caropreso, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 13555 W Mcdowell Rd Ste 203, Goodyear, AZ 85395 Phone: 480-840-1913 Fax: 480-840-1915 | |
Jonathan W. Agins, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 13555 W Mcdowell Rd, Suite 304, Goodyear, AZ 85395 Phone: 623-935-5522 Fax: 623-935-3220 | |
Darius Jimmy Unwala, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 13555 W Mcdowell Rd, Suite 302, Goodyear, AZ 85395 Phone: 623-512-4390 | |
Torre Rhoades, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 13555 W Mcdowell Rd, Suite 304, Goodyear, AZ 85395 Phone: 623-935-5522 Fax: 623-935-3220 |