| Dr John H Payne, MD | |
|
3262 N Windsong Dr Bldg 2, Prescott Valley, AZ 86314-2255 | |
| (928) 771-4788 | |
| (928) 771-5712 |
| Full Name | Dr John H Payne |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 51 Years |
| Location | 3262 N Windsong Dr Bldg 2, Prescott Valley, 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 |
|---|---|---|---|
| 1922109958 | NPI | - | NPPES |
| 0000078055 | Other | HI | HMSA BILLING NUMBER |
| 058739-01 | Medicaid | HI | |
| 63596 | Other | AZ | AZ STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 33669 (California) | Secondary |
| 208600000X | Surgery | MD-7046 (Hawaii) | Secondary |
| 208600000X | Surgery | 63596 (Arizona) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Yavapai Regional Medical Center | Prescott, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Yavapai Community Hospital Association | 6608777024 | 19 |
| Entity Name | Yavapai Community Hospital Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902897820 PECOS PAC ID: 6608777024 Enrollment ID: O20040119000405 |
| Entity Name | Yavapai Regional Medical Center Physician Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255582003 PECOS PAC ID: 5294898987 Enrollment ID: O20090106000798 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr John H Payne, MD Po Box 10880, Prescott, AZ 86304-0880 Ph: (602) 406-4786 | Dr John H Payne, MD 3262 N Windsong Dr Bldg 2, Prescott Valley, AZ 86314-2255 Ph: (928) 771-4788 |
Donald John Huang, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3262 N Windsong Dr Bldg 2, Prescott Valley, AZ 86314 Phone: 928-771-4788 Fax: 928-771-5712 | |
Dr. Michael G Macon, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 7700 E Florentine Rd, Bldg B, Ste 203, Prescott Valley, AZ 86314 Phone: 928-442-8740 Fax: 928-442-8142 | |
Dr. Todd E Simon, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3262 N Windsong Dr Bldg 2, Prescott Valley, AZ 86314 Phone: 928-759-5890 Fax: 928-458-2091 | |
Dr. Demitra T Manjoros, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 7700 E Florentine Rd, Bldg B, Ste. 203, Prescott Valley, AZ 86314 Phone: 928-442-8740 Fax: 928-442-8142 |