| Dr Mervat Basta, MD | |
|
4825 S Highway 95 # 2-356, Fort Mohave, AZ 86426 | |
| (888) 206-5902 | |
| (480) 466-7536 |
| Full Name | Dr Mervat Basta |
|---|---|
| Gender | Female |
| Speciality | Anesthesiology |
| Experience | 44 Years |
| Location | 4825 S Highway 95 # 2-356, Fort Mohave, Arizona |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285770115 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 26169 (Arizona) | Secondary |
| 282N00000X | General Acute Care Hospital | 26169 (Arizona) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Havasu Regional Medical Center | Lake havasu city, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Valley Regional Anesthesia Associates Inc | 3870964323 | 152 |
| Northeastern Anesthesia Pllc | 4284813940 | 33 |
| 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 | Northeastern Anesthesia Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487956504 PECOS PAC ID: 4284813940 Enrollment ID: O20110126001051 |
| Entity Name | Capstone Medical Arizona Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225436694 PECOS PAC ID: 5597081109 Enrollment ID: O20150225002119 |
| Entity Name | Anesthesia Services Of Arizona Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336857085 PECOS PAC ID: 6608247374 Enrollment ID: O20230118000286 |
| Entity Name | Valley Regional Anesthesia Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578272415 PECOS PAC ID: 3870964323 Enrollment ID: O20240521001150 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mervat Basta, MD Po Box 52650, Mesa, AZ 85208-0133 Ph: (888) 206-5902 | Dr Mervat Basta, MD 4825 S Highway 95 # 2-356, Fort Mohave, AZ 86426 Ph: (888) 206-5902 |