Dr Dennis Mccracken, MD | |
4524 N Maryvale Pkwy Ste 140, Phoenix, AZ 85031-1730 | |
(623) 440-5424 | |
Not Available |
Full Name | Dr Dennis Mccracken |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 4524 N Maryvale Pkwy Ste 140, Phoenix, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417900820 | NPI | - | NPPES |
930056369 | Other | TN | RAILROAD MEDICARE |
3083239 | Medicaid | TN | |
3056626 | Other | TN | BLUE CROSS |
3056626 | Other | TN | BC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD0000023683 (Tennessee) | Secondary |
207P00000X | Emergency Medicine | 17027 (Arizona) | Primary |
207P00000X | Emergency Medicine | 23683 (Tennessee) | Secondary |
Entity Name | Southeastern Emergency Physicians Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356379382 PECOS PAC ID: 2466364997 Enrollment ID: O20050125000997 |
Mailing Address | Practice Location Address |
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Dr Dennis Mccracken, MD 4524 N Maryvale Pkwy Ste 140, Phoenix, AZ 85031-1730 Ph: (623) 440-5424 | Dr Dennis Mccracken, MD 4524 N Maryvale Pkwy Ste 140, Phoenix, AZ 85031-1730 Ph: (623) 440-5424 |
Dr. Joel Philip Betz, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2601 E Roosevelt St, Phoenix, AZ 85008 Phone: 602-344-5411 | |
Beth Marie Ranney, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 645 E Missouri Ave Ste 300, Phoenix, AZ 85012 Phone: 480-500-2540 | |
Dr. Carrie Lynn Cook, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1111 E Mcdowell Rd, Phoenix, AZ 85006 Phone: 480-500-2540 Fax: 623-201-7954 | |
Joseph Choi, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2000 W Bethany Home Rd, Phoenix, AZ 85015 Phone: 602-249-0212 | |
Diana M Bui, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 5777 E Mayo Blvd, Phoenix, AZ 85054 Phone: 480-301-8000 | |
Dr. Diana Lynelle Dabell, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1300 N 12th St, Ste 301, Phoenix, AZ 85006 Phone: 602-839-6968 | |
Dr. Jason B Daniels, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5102 W Campbell Ave, Phoenix, AZ 85031 Phone: 623-848-5000 |