| Dr Jason Lee Kang, MD | |
|
807 S Ponderosa St, Payson, AZ 85541-5542 | |
| (602) 386-9982 | |
| (484) 231-9982 |
| Full Name | Dr Jason Lee Kang |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 807 S Ponderosa St, Payson, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932390457 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 32583 (Arizona) | Primary |
| 207R00000X | Internal Medicine | 32583 (Arizona) | Secondary |
| Entity Name | Mountain Vista Emergency Physicians, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164642963 PECOS PAC ID: 8325139223 Enrollment ID: O20070807000555 |
| 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 |
| Entity Name | Arizona Acute Medical Services 1 Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154860674 PECOS PAC ID: 6204113970 Enrollment ID: O20170505001284 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jason Lee Kang, MD Po Box 15070, Scottsdale, AZ 85267-5070 Ph: (480) 421-9700 | Dr Jason Lee Kang, MD 807 S Ponderosa St, Payson, AZ 85541-5542 Ph: (602) 386-9982 |
Dr. Mark Robert Solem, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 807 S Ponderosa St, Payson, AZ 85541 Phone: 928-472-1341 | |
Paul Alexander Budnick, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 807 S Ponderosa St, Payson, AZ 85541 Phone: 602-386-9982 Fax: 484-231-9982 | |
Dr. Erica A Burmood, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 807 S Ponderosa St, Payson, AZ 85541 Phone: 928-471-3222 | |
Joshua Lee Price, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 708 S Coeur D Alene Ln Ste A, Payson, AZ 85541 Phone: 928-472-7440 Fax: 928-472-7536 | |
Dr. Timothy Rolf Veenstra, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 807 S Ponderosa St, Payson, AZ 85541 Phone: 928-472-1341 | |
Dr. Michael Evan Brown, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 101 East Highway 260, Suite G, Payson, AZ 85541 Phone: 928-478-8905 Fax: 928-478-8926 |