| Dr Grant T Fankhauser, MD | |
|
9192 W Union Hills Dr, Peoria, AZ 85382-8208 | |
| (602) 374-4101 | |
| (602) 441-0522 |
| Full Name | Dr Grant T Fankhauser |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 20 Years |
| Location | 9192 W Union Hills Dr, Peoria, Arizona |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831121532 | NPI | - | NPPES |
| 705707 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 37503 (Arizona) | Secondary |
| 2086S0129X | Surgery - Vascular Surgery | 37503 (Arizona) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sonoran Vein And Endovascular Llc | 1951550888 | 6 |
| Entity Name | Sonoran Vein And Endovascular Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790049617 PECOS PAC ID: 1951550888 Enrollment ID: O20121009000278 |
| Entity Name | Comprehensive Interventional Care Centers Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568803047 PECOS PAC ID: 7810125267 Enrollment ID: O20140111000030 |
| Entity Name | Sonoran Vein And Endovascular Llc |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1790049617 PECOS PAC ID: 1951550888 Enrollment ID: O20150824001826 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Grant T Fankhauser, MD 9192 W Union Hills Dr, Peoria, AZ 85382-8208 Ph: (602) 374-4101 | Dr Grant T Fankhauser, MD 9192 W Union Hills Dr, Peoria, AZ 85382-8208 Ph: (602) 374-4101 |
Dr. Eric L Thomas, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 14155 N 83rd Ave Ste A105, Peoria, AZ 85381 Phone: 623-486-7700 Fax: 623-486-7703 | |
Jordan J Glenn, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 7727 W Deer Valley Rd Ste 220, Peoria, AZ 85382 Phone: 602-843-8317 Fax: 602-843-9091 | |
Dr. Ankur Janak Shukla, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 13640 N Plaza Del Rio Blvd Ste 240, Peoria, AZ 85381 Phone: 602-462-0868 Fax: 602-457-8319 | |
Jon R Hillegas, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 13640 N Plaza Del Rio Blvd, Ste 310, Peoria, AZ 85381 Phone: 623-876-3910 Fax: 623-876-6953 | |
John J Brothwell, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 9856 W Villa Lindo Dr, Peoria, AZ 85383 Phone: 623-979-4341 | |
Sean Benedict D'souza, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 9192 W Union Hills Dr, Peoria, AZ 85382 Phone: 602-374-4101 Fax: 602-441-0522 | |
Stanley J Goldberg, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 13640 N Plaza Del Rio Blvd, Ste 310, Peoria, AZ 85381 Phone: 623-876-3910 Fax: 623-285-2612 |