| Dr Jacqueline May Carter, MD | |
| 6828 E Brown Rd Ste 102, Mesa, AZ 85207-3761 | |
| (480) 981-8650 | |
| (480) 981-1563 | 
| Full Name | Dr Jacqueline May Carter | 
|---|---|
| Gender | Female | 
| Speciality | Internal Medicine | 
| Location | 6828 E Brown Rd Ste 102, Mesa, Arizona | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1669468807 | NPI | - | NPPES | 
| 868705 | Medicaid | AZ | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208000000X | Pediatrics | 32951 (Arizona) | Secondary | 
| 207R00000X | Internal Medicine | 32951 (Arizona) | Primary | 
| Entity Name | Newco Hatfield Medical Group Pllc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1578125233 PECOS PAC ID: 6002145612 Enrollment ID: O20190906002693 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Jacqueline May Carter, MD 6828 E Brown Rd Ste 102, Mesa, AZ 85207-3761 Ph: (480) 981-8650 | Dr Jacqueline May Carter, MD 6828 E Brown Rd Ste 102, Mesa, AZ 85207-3761 Ph: (480) 981-8650 | 
| Ankur Panchal,  Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6424 E Broadway Rd Ste 105, Mesa, AZ 85206 Phone: 480-733-7500 | |
| Yury Fomin, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1400 S Dobson Rd, Mesa, AZ 85202 Phone: 480-412-6788 Fax: 480-412-6848 | |
| Dr. Emmanuel A Bayongan, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1400 S Dobson Rd, Mesa, AZ 85202 Phone: 480-543-2034 Fax: 480-512-6089 | |
| Dr. Sanjeev Gopal, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6424 E Broadway Rd, 104-105, Mesa, AZ 85206 Phone: 602-802-8700 Fax: 602-802-8799 | |
| Dr. Alpesh Patel, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5555 E Baseline Rd, Mesa, AZ 85206 Phone: 480-393-0575 Fax: 480-704-4019 | |
| Mouhsen H Alhakeem, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1400 S Dobson Road, Attn Amanda Gump/hospitalist, Mesa, AZ 85202 Phone: 480-412-6788 Fax: 480-412-6848 | |
| Dr. Bindu Jayavelu, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 301 S Power Rd Ste 103, Mesa, AZ 85206 Phone: 480-325-7535 Fax: 480-325-7462 |