| Jonathan J Wiggenhorn, DO | |
|
2700 N 140th Avenue, Ste 107, Goodyear, AZ 85395 | |
| (623) 353-8770 | |
| (623) 353-8771 |
| Full Name | Jonathan J Wiggenhorn |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Experience | 27 Years |
| Location | 2700 N 140th Avenue, Goodyear, 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 |
|---|---|---|---|
| 1417983230 | NPI | - | NPPES |
| 272504 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207YS0123X | Otolaryngology - Facial Plastic Surgery | 4738 (Arizona) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Estrella Ear Nose And Throat Pc | 4082741087 | 4 |
| Entity Name | Estrella Ear Nose And Throat Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952623100 PECOS PAC ID: 4082741087 Enrollment ID: O20100422001160 |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan J Wiggenhorn, DO 2700 N 140th Ave Ste 107, Goodyear, AZ 85395-2439 Ph: (623) 537-7085 | Jonathan J Wiggenhorn, DO 2700 N 140th Avenue, Ste 107, Goodyear, AZ 85395 Ph: (623) 353-8770 |
Andrew Lee Iarocci, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1355 N Litchfield Road, Suite 135, Goodyear, AZ 85395 Phone: 623-512-4199 Fax: 623-512-4176 | |
Daniel D Charous, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 13555 W Mcdowell Rd Ste 209, Goodyear, AZ 85395 Phone: 623-512-4199 Fax: 623-512-4176 | |
Ryan Chang, PA-C Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1355 N Litchfield Road, Suite 135, Goodyear, AZ 85395 Phone: 623-512-4199 Fax: 623-512-4176 |