| Havenlight Health | |
|
7160 E Kierland Blvd Ste 213 Scottsdale AZ 85254-2987 | |
| (623) 396-5623 | |
| Not Available |
| Full Name | Havenlight Health |
|---|---|
| Speciality | Family Medicine |
| Location | 7160 E Kierland Blvd, Scottsdale, Arizona |
| Authorized Official Name and Position | Benjamin Reeser (MEDICAL DIRECTOR) |
| Authorized Official Contact | 6233965623 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Havenlight Health 809 W Riordan Rd Ste 100-132 Flagstaff AZ 86001-0842 Ph: () - | Havenlight Health 7160 E Kierland Blvd Ste 213 Scottsdale AZ 85254-2987 Ph: (623) 396-5623 |
| NPI Number | 1568042513 |
|---|---|
| Provider Enumeration Date | 04/13/2021 |
| Last Update Date | 04/26/2023 |
| Medicare PECOS PAC ID | 2365851854 |
|---|---|
| Medicare Enrollment ID | O20210513001588 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568042513 | NPI | - | NPPES |
| Z257365 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Benjamin Lee Reeser |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285071381 PECOS PAC ID: 7618261280 Enrollment ID: I20160804000038 |
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