| David Hipkin, MD | |
|
463 S. Lake Powell Blvd, Page, AZ 86040-0790 | |
| (928) 645-0945 | |
| (928) 645-2364 |
| Full Name | David Hipkin |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 463 S. Lake Powell Blvd, Page, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538130109 | NPI | - | NPPES |
| P00240629 | Other | NV | RAILROAD MEDICARE |
| 100505853 | Medicaid | NV | |
| 100505857 | Medicaid | NV | |
| 157588 | Medicaid | AZ | |
| V100433 | Other | NV | MEDICARE REVALIDATION |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 21930 (Arizona) | Primary |
| 207Q00000X | Family Medicine | 11352 (Nevada) | Secondary |
| Entity Name | Nextcare Arizona Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043371826 PECOS PAC ID: 9537161260 Enrollment ID: O20070209000357 |
| Mailing Address | Practice Location Address |
|---|---|
| David Hipkin, MD Po Box 790, Page, AZ 86040-0790 Ph: (928) 645-0945 | David Hipkin, MD 463 S. Lake Powell Blvd, Page, AZ 86040-0790 Ph: (928) 645-0945 |
Dr. Raymond Lee Holsten, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 467 Vista Avenue, Page, AZ 86040 Phone: 928-645-8123 Fax: 928-645-3862 | |
Brenda Christine Pecotte De Gonzalez, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 437 Vista Ave, Page, AZ 86040 Phone: 928-645-8123 | |
Dr. Dennis James Foley, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 467 Vista Avenue, Page, AZ 86040 Phone: 928-645-8123 Fax: 928-645-3862 | |
Dr. Eric P Wadleigh, DDS Family Medicine Medicare: Medicare Enrolled Practice Location: 436 Vist Ave, Page, AZ 86040 Phone: 928-645-2505 | |
Dr. Barbara M Zimmerman, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 467 Vista Avenue, Page, AZ 86040 Phone: 928-645-8123 Fax: 928-645-3862 | |
Dr. Michael J Demangone, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 463 S Lake Powell Blvd, Page, AZ 86040 Phone: 928-645-0945 Fax: 928-645-3254 |