| Dr Mark A Kallgren, MD | |
|
645 E Missouri Ave Ste 300, Phoenix, AZ 85012-1351 | |
| (602) 262-8900 | |
| (602) 262-8890 |
| Full Name | Dr Mark A Kallgren |
|---|---|
| Gender | Male |
| Speciality | Pain Management |
| Experience | 36 Years |
| Location | 645 E Missouri Ave Ste 300, 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 |
|---|---|---|---|
| 1700841541 | NPI | - | NPPES |
| 806093700 | Medicaid | ID | |
| 050039034 | Other | OR | RR MEDICARE |
| 070040 | Medicaid | OR | |
| 8170268 | Medicaid | WA | |
| XPY183725 | Medicaid | CA |
| Facility Name | Location | Facility Type |
|---|---|---|
| John C. Lincoln North Mountain Hospital | Phoenix, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Advanced Spine And Pain Llc | 0941610075 | 22 |
| Valley Anesthesiology Consultants Inc | 4880591841 | 271 |
| Entity Name | Valley Anesthesiology Consultants Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285660704 PECOS PAC ID: 4880591841 Enrollment ID: O20031217000620 |
| Entity Name | Advanced Spine And Pain Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356950653 PECOS PAC ID: 0941610075 Enrollment ID: O20201102000020 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mark A Kallgren, MD 645 E Missouri Ave Ste 300, Phoenix, AZ 85012-1351 Ph: (602) 262-8900 | Dr Mark A Kallgren, MD 645 E Missouri Ave Ste 300, Phoenix, AZ 85012-1351 Ph: (602) 262-8900 |
Dr. Ahmar Husain, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 1919 E Thomas Rd, Phoenix, AZ 85016 Phone: 602-933-4660 | |
Gerald D. Peiser, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 4441 E Mcdowell Rd, # 101, Phoenix, AZ 85008 Phone: 602-273-6770 Fax: 602-889-0489 | |
Asha Thakur, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1715 W Northern Ave, Suite 108, Phoenix, AZ 85021 Phone: 602-395-0718 Fax: 602-277-8146 | |
Joshua Aaron Bloomstone, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 645 E Missouri Ave Ste 300, Phoenix, AZ 85012 Phone: 602-262-8900 Fax: 602-262-8890 | |
Jeffrey Parker Morray, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 2901 North Central Ave, Ste 500, Phoenix, AZ 85012 Phone: 602-262-8900 Fax: 602-262-8919 | |
Dr. Eric L Pedicini, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1850 N Central Ave, Suite1600, Phoenix, AZ 85004 Phone: 602-262-8900 Fax: 602-262-8890 | |
Laura Kareen Griffin, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1919 E Thomas Rd, Phoenix, AZ 85016 Phone: 602-933-4660 Fax: 602-933-8945 |