| Bruce A Hall, MD | |
|
2200 E Show Low Lake Rd, Show Low, AZ 85901-7881 | |
| (928) 537-4375 | |
| Not Available |
| Full Name | Bruce A Hall |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 34 Years |
| Location | 2200 E Show Low Lake Rd, Show Low, 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 |
|---|---|---|---|
| 1104803493 | NPI | - | NPPES |
| 405820 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 25444 (Arizona) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Dignity Health Arizona General Hospital | Mesa, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tec Emergency Physicians Of Arizona, Llc | 6204256084 | 127 |
| Entity Name | Tec Emergency Physicians Of Arizona, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245772870 PECOS PAC ID: 6204256084 Enrollment ID: O20201016000157 |
| Mailing Address | Practice Location Address |
|---|---|
| Bruce A Hall, MD 300 W White Mountain Blvd, Ste D, Lakeside, AZ 85929-7014 Ph: (928) 368-4547 | Bruce A Hall, MD 2200 E Show Low Lake Rd, Show Low, AZ 85901-7881 Ph: (928) 537-4375 |
Travis Wade Austin, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4951 S White Mountain Rd Bldg A, Show Low, AZ 85901 Phone: 928-537-6700 Fax: 928-537-9581 | |
Philip L Johnson, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2200 E Show Low Lake Rd, Show Low, AZ 85901 Phone: 928-537-4375 | |
Cameron Tregaskes, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2200 E Show Low Lake Rd, Show Low, AZ 85901 Phone: 928-537-6371 Fax: 928-537-2538 | |
Susan Davies, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2200 E Show Low Lake Rd, Show Low, AZ 85901 Phone: 928-537-4375 | |
Brent Veerman, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2200 E Show Low Lake Rd, Show Low, AZ 85901 Phone: 928-537-4375 | |
Victor Staheli, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2200 E Show Low Lake Rd, Show Low, AZ 85901 Phone: 928-537-4375 |