| Dr Kevin John Haselhorst, MD | |
|
13677 W Mcdowell Rd, Goodyear, AZ 85338-2618 | |
| (623) 882-1500 | |
| Not Available |
| Full Name | Dr Kevin John Haselhorst |
|---|---|
| Gender | Male |
| Speciality | General Practice |
| 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 |
|---|---|---|---|
| 1831170935 | NPI | - | NPPES |
| AW1436 | Other | AZ | HEALTHNET GROUP |
| 860373636 | Other | AZ | HUMANA-GROUP # |
| 453051001 | Other | AZ | GROUP HEALTH GROUP |
| AZ0728670 | Other | AZ | BLUE CROSS BLUE SHIELD-GR |
| 3981220 | Other | AZ | EVERCARE GROUP |
| 420886 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 25725 (Arizona) | Secondary |
| 208D00000X | General Practice | 25725 (Arizona) | Primary |
| Entity Name | American Current Care Of Arizona Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780873307 PECOS PAC ID: 5991886020 Enrollment ID: O20080115000594 |
| 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 Kevin John Haselhorst, MD 5777 N 78th Pl, Scottsdale, AZ 85250-6170 Ph: (480) 947-9682 | Dr Kevin John Haselhorst, MD 13677 W Mcdowell Rd, Goodyear, AZ 85338-2618 Ph: (623) 882-1500 |
Dr. Samuel Ponce Nandin, M.D. General Practice Medicare: Medicare Enrolled Practice Location: 13851 W La Mar Blvd, Ste C, Goodyear, AZ 85338 Phone: 623-925-2622 Fax: 623-925-9260 | |
Dr. Sean Michael Penwell, M.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: 14175 West Indian School Rd Ste B4, #501, Goodyear, AZ 85395 Phone: 424-322-9032 | |
Dr. Baiywo Rop, M.D. General Practice Medicare: Medicare Enrolled Practice Location: 13805 W Van Buren St Ste B, Goodyear, AZ 85338 Phone: 480-559-5805 | |
Linda-michelle Ledesma, D.O. General Practice Medicare: Accepting Medicare Assignments Practice Location: 3328 N Litchfield Rd, Goodyear, AZ 85395 Phone: 623-239-0394 Fax: 623-536-5813 |