| Dr Eric Vance Hastriter, MD | |
| 
					5779 E Mayo Blvd, Phoenix, AZ 85054-4502  | |
| (480) 301-8000 | |
| Not Available | 
| Full Name | Dr Eric Vance Hastriter | 
|---|---|
| Gender | Male | 
| Speciality | Psychiatry & Neurology - Neurology | 
| Location | 5779 E Mayo Blvd, 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 | 
|---|---|---|---|
| 1740381920 | NPI | - | NPPES | 
| 521071 | Medicaid | AZ | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208000000X | Pediatrics | 2006-01503 (North Carolina) | Secondary | 
| 2084N0400X | Psychiatry & Neurology - Neurology | 43021 (Arizona) | Primary | 
| Entity Name | Phoenix Children's Hospital | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1922112044 PECOS PAC ID: 0446278584 Enrollment ID: O20051107000704  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Eric Vance Hastriter, MD 5779 E Mayo Blvd, Phoenix, AZ 85054-4502 Ph: (480) 301-8000  | Dr Eric Vance Hastriter, MD 5779 E Mayo Blvd, Phoenix, AZ 85054-4502 Ph: (480) 301-8000  | 
Dr. George David Goldberg, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2145 E Kaler Dr, Phoenix, AZ 85020 Phone: 602-943-2400  | |
Andrea Oliver Skelton, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 16620 N 40th St Ste H4, Phoenix, AZ 85032 Phone: 602-464-9576 Fax: 602-626-8901  | |
Mr. Joseph Andrew Vitagliano, PA-C Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1110 E Missouri Ave Ste 110, Phoenix, AZ 85014 Phone: 480-542-8202  | |
Robin Laurie Mcfarlane, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1111 E Mcdowell Rd, Phoenix, AZ 85006 Phone: 602-839-2266  | |
Kevin Yang,  Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2601 E Roosevelt St, Phoenix, AZ 85008 Phone: 602-344-5011  | |
Mrs. Sonia Teresa Brunson, FNP-BC Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1441 N 12th St Fl 3, Phoenix, AZ 85006 Phone: 602-521-5700 Fax: 602-521-5701  | |
Dr. Michael A Stein, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 240 W Thomas Rd # 404, Phoenix, AZ 85013 Phone: 602-406-6262  |