| Ashley Marie Mulder, MD | |
|
2035 Mesquite Ave, Lake Havasu City, AZ 86403-5894 | |
| (928) 208-4598 | |
| (888) 571-6436 |
| Full Name | Ashley Marie Mulder |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 5 Years |
| Location | 2035 Mesquite Ave, Lake Havasu City, Arizona |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104455989 | NPI | - | NPPES |
| 141544 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 69006 (Arizona) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Havasu Regional Medical Center | Lake havasu city, AZ | Hospital |
| Kingman Regional Medical Center | Kingman, AZ | Hospital |
| La Paz Regional Hospital | Parker, AZ | Hospital |
| Valley View Medical Center | Fort mohave, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lakeside Heart And Vascular Center Pllc | 4587832779 | 27 |
| Entity Name | Lakeside Heart And Vascular Center Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801194352 PECOS PAC ID: 4587832779 Enrollment ID: O20110713000658 |
| Mailing Address | Practice Location Address |
|---|---|
| Ashley Marie Mulder, MD 2035 Mesquite Ave, Lake Havasu City, AZ 86403-5894 Ph: (928) 208-4598 | Ashley Marie Mulder, MD 2035 Mesquite Ave, Lake Havasu City, AZ 86403-5894 Ph: (928) 208-4598 |
Kristy M Whelan, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2082 Mesquite Ave, Suite 106, Lake Havasu City, AZ 86403 Phone: 928-680-4233 Fax: 928-680-6522 | |
Manu Lonial, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1741 Mesquite Ave # 100, Lake Havasu City, AZ 86403 Phone: 928-782-7972 Fax: 928-329-4522 | |
Kelli M Ward, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2090 Smoketree Ave N, Lake Havasu City, AZ 86403 Phone: 928-854-1800 Fax: 928-854-1847 | |
Michael Stephen Rosen, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2082 Mesquite Ave, Suite A106, Lake Havasu City, AZ 86403 Phone: 928-680-4233 Fax: 928-680-6522 | |
Daniel Itano, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 Civic Center Ln, Lake Havasu City, AZ 86403 Phone: 928-855-8185 | |
Marie Annette Ohaver, FNP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1720 Mesquite Ave Ste 100, Lake Havasu City, AZ 86403 Phone: 928-412-8088 Fax: 928-412-8807 |