| Ian Kay Brimhall, DO | |
|
4830 Highway 260, Ste 103, Lakeside, AZ 85929-5845 | |
| (928) 537-8777 | |
| (928) 537-1914 |
| Full Name | Ian Kay Brimhall |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 33 Years |
| Location | 4830 Highway 260, Lakeside, 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 |
|---|---|---|---|
| 1467652875 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 4782 (Arizona) | Secondary |
| 207X00000X | Orthopaedic Surgery | 5101015602 (Michigan) | Secondary |
| 207X00000X | Orthopaedic Surgery | 191513 (Alaska) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Summit Healthcare Regional Medical Center | Show low, AZ | Hospital |
| White Mountain Regional Medical Center | Springerville, AZ | Hospital |
| Fairbanks Memorial Hospital | Fairbanks, AK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ian Brimhall Pc | 7517030281 | 2 |
| Tanana Valley Clinic Llc | 5698056901 | 131 |
| Entity Name | Ian Brimhall Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760644462 PECOS PAC ID: 7517030281 Enrollment ID: O20101007001310 |
| Mailing Address | Practice Location Address |
|---|---|
| Ian Kay Brimhall, DO 4830 Highway 260 Ste 103, Lakeside, AZ 85929-5851 Ph: (928) 537-8777 | Ian Kay Brimhall, DO 4830 Highway 260, Ste 103, Lakeside, AZ 85929-5845 Ph: (928) 537-8777 |
Dr. Jacob Blaine Oldham, Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 4830 Highway 260 Ste 103, Lakeside, AZ 85929 Phone: 928-537-8777 Fax: 928-537-1914 | |
Jeffrey Maurice Reagan, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 4830 Highway 260 Ste 103, Lakeside, AZ 85929 Phone: 928-537-8777 Fax: 928-537-1914 | |
Laura L Vandenheede, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 5658 Highway 260, Suite 7, Lakeside, AZ 85929 Phone: 928-537-3399 Fax: 928-537-0475 |