| J Gavin Gonzalez, MD | |
|
4140 E Baseline Rd, Ste 211, Mesa, AZ 85206 | |
| (480) 273-8680 | |
| (480) 306-7683 |
| Full Name | J Gavin Gonzalez |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Experience | 32 Years |
| Location | 4140 E Baseline Rd, Mesa, 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 |
|---|---|---|---|
| 1427027408 | NPI | - | NPPES |
| 26245 | Other | AZ | AZ MEDICAL BOARD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Y00000X | Otolaryngology | 26245 (Arizona) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Banner Gateway Medical Center | Gilbert, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Valley Ent Pc | 8729149711 | 71 |
| Entity Name | Valley Ent Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508990185 PECOS PAC ID: 8729149711 Enrollment ID: O20120202000209 |
| Mailing Address | Practice Location Address |
|---|---|
| J Gavin Gonzalez, MD 4140 E Baseline Rd, Ste 211, Mesa, AZ 85206 Ph: (480) 273-8680 | J Gavin Gonzalez, MD 4140 E Baseline Rd, Ste 211, Mesa, AZ 85206 Ph: (480) 273-8680 |
Thomas J Ketterer, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 560 W Brown Rd, #1008, Mesa, AZ 85201 Phone: 480-833-8620 | |
Glenn B. Rothman, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1520 S. Dobson Road, Suite 305, Mesa, AZ 85202 Phone: 602-539-4000 Fax: 602-833-3040 | |
Robert Henry Thompson Iii, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 2058 S Dobson Rd, #10, Mesa, AZ 85202 Phone: 480-730-0707 Fax: 480-730-6893 | |
Leopold K Yin, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 4140 E Baseline Rd, Suite 211, Mesa, AZ 85206 Phone: 480-273-8680 Fax: 480-306-7683 | |
Dr. Janelle A. Y. Engel, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 1520 S. Dobson Road, Suite 305, Mesa, AZ 85202 Phone: 480-539-4000 Fax: 480-833-3040 | |
Dr. Robert Peterson, M.D. Otolaryngology Medicare: Medicare Enrolled Practice Location: 3921 E Nora Cir, Mesa, AZ 85215 Phone: 480-832-7464 |