| Dr George Shepard Iii, MD MBA | |
|
13677 W Mcdowell Rd, Goodyear, AZ 85338-2618 | |
| (623) 882-1500 | |
| Not Available |
| Full Name | Dr George Shepard Iii |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 13677 W Mcdowell Rd, Goodyear, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174507396 | NPI | - | NPPES |
| 453051001 | Other | AZ | GROUP HEALTH GROUP |
| 3981220 | Other | AZ | EVERCARE GROUP |
| 860373636 | Other | AZ | HUMANA GROUP |
| AW1436 | Other | AZ | HEALTHNET GROUP |
| 118861 | Medicaid | AZ | |
| AZ0728670 | Other | AZ | BLUE CROSS BLUE SHIELD GR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 20925 (Arizona) | Primary |
| Entity Name | Emergency Group Of Arizona Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215275433 PECOS PAC ID: 1355596644 Enrollment ID: O20130313000442 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr George Shepard Iii, MD MBA 1123 W Palo Verde Dr, Phoenix, AZ 85013-1633 Ph: (602) 256-7778 | Dr George Shepard Iii, MD MBA 13677 W Mcdowell Rd, Goodyear, AZ 85338-2618 Ph: (623) 882-1500 |
Brendan Davis, PA-C Emergency Medicine Medicare: Medicare Enrolled Practice Location: 13677 W Mcdowell Rd, Goodyear, AZ 85395 Phone: 623-882-1500 | |
Frederick T Warner, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 13677 W Mcdowell Rd, Goodyear, AZ 85395 Phone: 623-882-1500 | |
Dr. Timothy Owen Pfeiffer, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 13677 W Mcdowell Rd, Goodyear, AZ 85338 Phone: 623-882-1500 | |
Brian Casillas, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 13657 W Mcdowell Rd Ste 220, Goodyear, AZ 85395 Phone: 623-882-1500 | |
Gavin Koenig, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 13657 W Mcdowell Rd Ste 220, Goodyear, AZ 85395 Phone: 623-848-5609 | |
Mr. David R Murray, PA Emergency Medicine Medicare: Medicare Enrolled Practice Location: 13677 W Mcdowell Rd, Goodyear, AZ 85338 Phone: 623-882-1500 |