Mr Gene C Hutsell, NP | |
1125 Pueblo Dr, Lake Havasu City, AZ 86406-8918 | |
(928) 669-6669 | |
Not Available |
Full Name | Mr Gene C Hutsell |
---|---|
Gender | Male |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 1125 Pueblo Dr, Lake Havasu City, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720030406 | NPI | - | NPPES |
AP30004998 | Other | WA | WA STATE |
646995 | Other | AZ | AHCCCS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | RN114639 (Arizona) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | AP30004998 (Washington) | Primary |
Entity Name | Integrated Pain Consultants Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538612965 PECOS PAC ID: 4284922204 Enrollment ID: O20161006002055 |
Mailing Address | Practice Location Address |
---|---|
Mr Gene C Hutsell, NP Po Box 813, Lake Havasu City, AZ 86405-0813 Ph: (928) 669-6669 | Mr Gene C Hutsell, NP 1125 Pueblo Dr, Lake Havasu City, AZ 86406-8918 Ph: (928) 669-6669 |
Nikola Marie Neill, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1760 Mcculloch Blvd N, Ste 100, Lake Havasu City, AZ 86403 Phone: 928-854-5368 Fax: 928-854-4462 | |
Ms. Stephanie Louise Herrick, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1987 Mcculloch Blvd N, Ste 101, Lake Havasu City, AZ 86403 Phone: 928-453-6963 Fax: 928-453-7011 | |
June Staley, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1845 Mcculloch Blvd N, Suite B-1, Lake Havasu City, AZ 86403 Phone: 928-453-2661 Fax: 928-453-2672 | |
Stephanie R Brison, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1851 Mesquite Ave, Lake Havasu City, AZ 86403 Phone: 928-854-0060 | |
Allison Johnson, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 Civic Center Ln, Lake Havasu City, AZ 86403 Phone: 928-855-8185 | |
Darion Alexxis Roush, AGACNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 101 Civic Center Ln, Lake Havasu City, AZ 86403 Phone: 928-855-8185 | |
Mrs. Stevie Jean Mueller, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 365 Lake Havasu Ave S, Lake Havasu City, AZ 86403 Phone: 928-733-6293 |