Sarah Stackley, DO | |
800 Cove Pkwy, Cottonwood, AZ 86326-4644 | |
(928) 649-3003 | |
Not Available |
Full Name | Sarah Stackley |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 800 Cove Pkwy, Cottonwood, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033560610 | NPI | - | NPPES |
133417 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 1921 (Nebraska) | Secondary |
208000000X | Pediatrics | 010489 (Arizona) | Primary |
Entity Name | Phoenix Children's Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922112044 PECOS PAC ID: 0446278584 Enrollment ID: O20051107000704 |
Mailing Address | Practice Location Address |
---|---|
Sarah Stackley, DO 2108 E Thomas Rd Ste 130, Phoenix, AZ 85016-0008 Ph: (602) 933-3124 | Sarah Stackley, DO 800 Cove Pkwy, Cottonwood, AZ 86326-4644 Ph: (928) 649-3003 |
Cynthia Earhart Martin, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 340 S Willard St, Cottonwood, AZ 86326 Phone: 928-639-6025 Fax: 928-639-6541 | |
Kara Michele Block, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 51 S Brian Mickelsen Pkwy, Cottonwood, AZ 86326 Phone: 928-639-8132 Fax: 866-274-8919 | |
Danielle R Parrott, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 800 Cove Pkwy, Cottonwood, AZ 86326 Phone: 928-649-3003 Fax: 928-649-3030 | |
Wendy T Katzenstein-tuccille, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 800 Cove Pkwy, Cottonwood, AZ 86326 Phone: 928-649-3003 Fax: 928-649-3030 | |
Jennifer Christy, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 800 Cove Pkwy, Cottonwood, AZ 86326 Phone: 928-649-3003 Fax: 928-649-3030 |