| Aaron Knudson, DO | |
|
601 N Navajo Drive, Pob 1447, Page, AZ 86040 | |
| (928) 645-0766 | |
| (928) 645-0767 |
| Full Name | Aaron Knudson |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 17 Years |
| Location | 601 N Navajo Drive, Page, 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 |
|---|---|---|---|
| 1447417951 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 005875 (Arizona) | Primary |
| 208000000X | Pediatrics | 005875 (Arizona) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Page Hospital | Page, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Banner Hospital Based Physicians Arizona Llc | 3274782487 | 524 |
| Entity Name | Page Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578515789 PECOS PAC ID: 5496665861 Enrollment ID: O20031218000179 |
| Entity Name | Emergency Professional Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518984210 PECOS PAC ID: 6901707272 Enrollment ID: O20040119000693 |
| Entity Name | Emergency Physicians Southwest Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912053752 PECOS PAC ID: 2264538529 Enrollment ID: O20070502000382 |
| Entity Name | Page Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1578515789 PECOS PAC ID: 5496665861 Enrollment ID: O20110328000098 |
| Entity Name | Banner Primary Care Physicians Arizona Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417238908 PECOS PAC ID: 6406020155 Enrollment ID: O20111115000898 |
| Entity Name | Banner Hospital Based Physicians Arizona Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275889891 PECOS PAC ID: 3274782487 Enrollment ID: O20121003000752 |
| Entity Name | Creek Valley Health Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821652793 PECOS PAC ID: 0042542706 Enrollment ID: O20191029003356 |
| Mailing Address | Practice Location Address |
|---|---|
| Aaron Knudson, DO 601 North Navajo Drive, Page, AZ 86040 Ph: (928) 645-0766 | Aaron Knudson, DO 601 N Navajo Drive, Pob 1447, Page, AZ 86040 Ph: (928) 645-0766 |
John R Harlan, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 501 N Navajo, Page Clinic, Page, AZ 86040 Phone: 928-645-0740 Fax: 928-645-0167 |