| Chad Edward Hartley, MD | |
|
72 Lake Havasu Ave S Ste 102, Lake Havasu City, AZ 86403-0857 | |
| (928) 453-2211 | |
| (928) 453-2213 |
| Full Name | Chad Edward Hartley |
|---|---|
| Gender | Male |
| Speciality | Neurosurgery |
| Experience | 25 Years |
| Location | 72 Lake Havasu Ave S Ste 102, Lake Havasu City, 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 |
|---|---|---|---|
| 1457513749 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207T00000X | Neurological Surgery | 46605 (Arizona) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Havasu Regional Medical Center | Lake havasu city, AZ | Hospital |
| Valley View Medical Center | Fort mohave, AZ | Hospital |
| La Paz Regional Hospital | Parker, AZ | Hospital |
| Western Arizona Regional Medical Center | Bullhead city, AZ | Hospital |
| Kingman Regional Medical Center | Kingman, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Panacea Brain And Spine Llc | 0648423525 | 2 |
| Bhsm Rehabilitation Llc | 2062773138 | 1575 |
| Entity Name | Panacea Brain And Spine Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457622763 PECOS PAC ID: 0648423525 Enrollment ID: O20121228000141 |
| Mailing Address | Practice Location Address |
|---|---|
| Chad Edward Hartley, MD 72 Lake Havasu Ave S Ste 102, Lake Havasu City, AZ 86403-0857 Ph: (928) 453-2211 | Chad Edward Hartley, MD 72 Lake Havasu Ave S Ste 102, Lake Havasu City, AZ 86403-0857 Ph: (928) 453-2211 |
Dr. Marc Duane Christensen, MD, PHD, PA Neurological Surgery Medicare: Medicare Enrolled Practice Location: 72 Lake Havasu Ave S Ste 102, Lake Havasu City, AZ 86403 Phone: 928-453-2211 Fax: 928-453-2213 |