| Dr Derek James Mitzel, MD | |
| 18205 N 51st Ave, Suite 109, Glendale, AZ 85308-1490 | |
| (602) 547-1400 | |
| (602) 547-1401 | 
| Full Name | Dr Derek James Mitzel | 
|---|---|
| Gender | Male | 
| Speciality | Anesthesiology | 
| Location | 18205 N 51st Ave, Glendale, Arizona | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1477508232 | NPI | - | NPPES | 
| 116627 | Medicaid | AZ | |
| Z115507 | Other | MEDICARE ID | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207LC0200X | Anesthesiology - Critical Care Medicine | 4296 (Arizona) | Secondary | 
| 207L00000X | Anesthesiology | 4296 (Arizona) | Primary | 
| Entity Name | Banner-university Medical Group | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1508809427 PECOS PAC ID: 7719899871 Enrollment ID: O20031105000694 | 
| Entity Name | Anesthesia Partners Of Arizona Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1619452901 PECOS PAC ID: 8628317179 Enrollment ID: O20190228001927 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Derek James Mitzel, MD 18205 N 51st Ave, Suite 109, Glendale, AZ 85308-1490 Ph: (602) 547-1400 | Dr Derek James Mitzel, MD 18205 N 51st Ave, Suite 109, Glendale, AZ 85308-1490 Ph: (602) 547-1400 | 
| Dr. Patrick William Hogan, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 7200 W Bell Rd, Ste F101, Glendale, AZ 85308 Phone: 602-795-8700 Fax: 602-795-8701 | |
| Dr. Cary J Colter, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 5757 W Thunderbird Rd, Suite W-400, Glendale, AZ 85306 Phone: 602-547-1400 Fax: 602-547-1401 | |
| Dr. Kevin Doyle Carter, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 5757 W Thunderbird Rd, Suite W-400, Glendale, AZ 85306 Phone: 602-547-1400 Fax: 602-547-1401 | |
| Dr. David S. Higgins, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 5757 W Thunderbird Rd, Suite W-400, Glendale, AZ 85306 Phone: 602-547-1400 Fax: 602-547-1401 | |
| Dr. John Philip Dagirmanjian, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 18205 N 51st Ave, Suite 109, Glendale, AZ 85308 Phone: 602-547-1400 Fax: 602-547-1401 | |
| Dr. Brian S Page, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 20325 N. 51st Ave, Bld 8 Suite 160, Glendale, AZ 85308 Phone: 623-466-6350 Fax: 602-358-8698 | |
| Dr. Michelle Stump Urschel, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 18205 N 51st Ave Ste 109, Glendale, AZ 85308 Phone: 702-878-0070 Fax: 702-209-2064 |