| Dr Stacy Deann Veldhuizen Mickey, MD | |
|
7165 E University Dr Ste 101, Mesa, AZ 85207-6400 | |
| (480) 999-0049 | |
| (866) 918-8525 |
| Full Name | Dr Stacy Deann Veldhuizen Mickey |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 26 Years |
| Location | 7165 E University Dr Ste 101, Mesa, 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 |
|---|---|---|---|
| 1760449490 | NPI | - | NPPES |
| 2Z1949 | Other | HEALTHNET | |
| 260027308 | Other | AZ | TAX ID |
| AZ0773670 | Other | BLUE CROSS BLUE SHIELD | |
| 860783428 | Other | AZ | TAX ID |
| 834764001 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 31691 (Arizona) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Banner Baywood Medical Center | Mesa, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Privia Medical Group Arizona, Llc | 1052328408 | 78 |
| Bhsm Rehabilitation Llc | 2062773138 | 1575 |
| Entity Name | Privia Medical Group Arizona, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760441141 PECOS PAC ID: 1052328408 Enrollment ID: O20060309000742 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Stacy Deann Veldhuizen Mickey, MD 3815 E Bell Rd Ste 2200, Phoenix, AZ 85032-2139 Ph: (602) 633-3848 | Dr Stacy Deann Veldhuizen Mickey, MD 7165 E University Dr Ste 101, Mesa, AZ 85207-6400 Ph: (480) 999-0049 |
Dr. Jose Rapanan Jr., DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10032 E Southern Ave, Mesa, AZ 85209 Phone: 480-351-2850 | |
George Ting, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1111 N Stapley Dr, Mesa, AZ 85203 Phone: 480-464-8500 | |
Dr. Thomas P Porter, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1950 S Country Club Dr, Mesa, AZ 85210 Phone: 480-969-1446 Fax: 480-969-9105 | |
Dana S Farris, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10238 E Hampton Ave Ste 506, Mesa, AZ 85209 Phone: 480-834-7546 Fax: 480-833-8313 | |
Mrs. Keona E Smith, NURSE PRACTITIONER Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6015 E Brown Rd, Mesa, AZ 85205 Phone: 866-389-2727 | |
Nancy Mucha, CNP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2843 N 89th St, Mesa, AZ 85207 Phone: 480-396-3482 | |
Ryan Elisabeth Romo, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1705 W Main St, Mesa, AZ 85201 Phone: 877-809-5092 |