| Dr Makonnen G Habtemariam, MD | |
|
1800 E Van Buren St, Phoenix, AZ 85006-3742 | |
| (602) 251-8100 | |
| (480) 907-7097 |
| Full Name | Dr Makonnen G Habtemariam |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 40 Years |
| Location | 1800 E Van Buren St, Phoenix, 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 |
|---|---|---|---|
| 1851357909 | NPI | - | NPPES |
| 21618 | Other | AZ | LICENSE |
| 331918 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 21618 (Arizona) | Primary |
| 208M00000X | Hospitalist | 21618 (Arizona) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sacred Heart Hospice, Llc | Phoenix, AZ | Hospice |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Makonnen G Habtemariam Pllc | 2264574789 | 2 |
| Entity Name | Makonnen G Habtemariam Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043547938 PECOS PAC ID: 2264574789 Enrollment ID: O20100121000839 |
| Entity Name | Palliative Care Alliance Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093137671 PECOS PAC ID: 3971829169 Enrollment ID: O20150305001999 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Makonnen G Habtemariam, MD P.o. Box 11773, Chandler, AZ 85248 Ph: (480) 907-7707 | Dr Makonnen G Habtemariam, MD 1800 E Van Buren St, Phoenix, AZ 85006-3742 Ph: (602) 251-8100 |
Moustafa I Hazin, D.O. Internal Medicine Medicare: Medicare Enrolled Practice Location: 500 W Thomas Rd, Suite 900, Phoenix, AZ 85013 Phone: 602-406-5590 Fax: 602-406-7165 | |
Dr. Ali Shaheen Al-yaqoobi, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2601 E Roosevelt St, Phoenix, AZ 85008 Phone: 602-344-5411 | |
Dana Archbold, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1111 E Mcdowell Rd, Phoenix, AZ 85006 Phone: 602-839-2296 Fax: 602-839-2084 | |
Dr. Nilofar Najafian, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 W Thomas Rd Ste 480, Phoenix, AZ 85013 Phone: 602-406-5483 Fax: 602-406-5488 | |
Brady Paul Dennison, DO Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 250 E Dunlap Ave, Phoenix, AZ 85020 Phone: 602-445-0751 Fax: 602-424-8128 | |
Kristina Yancey, Internal Medicine Medicare: Medicare Enrolled Practice Location: 5777 E Mayo Blvd, Phoenix, AZ 85054 Phone: 480-342-2000 | |
Dr. Francisco Cordova, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 29 W Edgemont Ave, Phoenix, AZ 85003 Phone: 602-263-8971 Fax: 602-263-8971 |