| Dr Jason Pernell Heavens, MD | |
|
4450 S Rural Rd Ste A210, Tempe, AZ 85282-5587 | |
| (623) 444-2734 | |
| (623) 444-2784 |
| Full Name | Dr Jason Pernell Heavens |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 28 Years |
| Location | 4450 S Rural Rd Ste A210, Tempe, 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 |
|---|---|---|---|
| 1063781797 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 44336 (Arizona) | Primary |
| 207P00000X | Emergency Medicine | 44336 (Arizona) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Bhsm Rehabilitation Llc | 2062773138 | 1575 |
| Heavens Urgent Care Llc | 7416204474 | 3 |
| Entity Name | Md Homecare Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720524333 PECOS PAC ID: 8325324114 Enrollment ID: O20170410001831 |
| Entity Name | Heavens Urgent Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578065827 PECOS PAC ID: 7416204474 Enrollment ID: O20180720003069 |
| Entity Name | Summit Medical Group Arizona Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053810622 PECOS PAC ID: 3173872835 Enrollment ID: O20180814003015 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jason Pernell Heavens, MD 105 S Delaware Dr Ste 1, Apache Junction, AZ 85120-6512 Ph: (623) 444-2734 | Dr Jason Pernell Heavens, MD 4450 S Rural Rd Ste A210, Tempe, AZ 85282-5587 Ph: (623) 444-2734 |
Matthew Sterling Zweig, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1626 S Priest Dr Ste 104, Tempe, AZ 85281 Phone: 480-882-7320 | |
Brent L Madsen, PA-C Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 914 N Scottsdale Rd Ste 104, Tempe, AZ 85288 Phone: 480-924-8382 Fax: 480-966-0566 | |
J Edward Bernardo Maddela, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1492 South Mill Avenue, Suite 312, Tempe, AZ 85281 Phone: 602-243-7277 Fax: 480-927-1092 | |
Dr. Ayat Ahmed Hashi, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1200 E Bishop Dr, Tempe, AZ 85282 Phone: 602-527-0054 | |
Regina M Wright, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4515 S Mcclintock Dr, Ste 100, Tempe, AZ 85282 Phone: 480-820-1133 Fax: 480-820-9292 | |
Todd Maxwell Dreitzler, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6625 S Rural Rd Ste 104, Tempe, AZ 85283 Phone: 480-833-4515 |