| Jeffrey Maurice Reagan, MD | |
|
4830 Highway 260 Ste 103, Lakeside, AZ 85929-5851 | |
| (928) 537-8777 | |
| (928) 537-1914 |
| Full Name | Jeffrey Maurice Reagan |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 18 Years |
| Location | 4830 Highway 260 Ste 103, 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 |
|---|---|---|---|
| 1477750636 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207XX0005X | Orthopaedic Surgery - Sports Medicine | 49407 (Arizona) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Summit Healthcare Regional Medical Center | Show low, AZ | Hospital |
| White Mountain Regional Medical Center | Springerville, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Jeffrey M Reagan Md Pllc | 5890912653 | 2 |
| Entity Name | Jeffrey M Reagan Md Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194132613 PECOS PAC ID: 5890912653 Enrollment ID: O20140819001188 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey Maurice Reagan, MD 4830 Highway 260 Ste 103, Lakeside, AZ 85929-5851 Ph: (928) 537-8777 | Jeffrey Maurice Reagan, MD 4830 Highway 260 Ste 103, Lakeside, AZ 85929-5851 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 | |
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 |