| Justin Gause, | |
|
10524 Az-92, Hereford, AZ 85615 | |
| (520) 366-0300 | |
| Not Available |
| Full Name | Justin Gause |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 10524 Az-92, Hereford, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336703180 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 66937 (Arizona) | Primary |
| Entity Name | Benson Hospital Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336118322 PECOS PAC ID: 3274443056 Enrollment ID: O20040109000537 |
| Entity Name | Codac Health Recovery And Wellness |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033156567 PECOS PAC ID: 6103813811 Enrollment ID: O20040426001693 |
| Entity Name | Bisbee Hospital Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518968767 PECOS PAC ID: 5092626168 Enrollment ID: O20040623001007 |
| Entity Name | Greater Phoenix Collaborative Care Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750686614 PECOS PAC ID: 0941503304 Enrollment ID: O20160120000300 |
| Mailing Address | Practice Location Address |
|---|---|
| Justin Gause, 101 Cole Ave, Bisbee, AZ 85603-1327 Ph: (520) 432-5082 | Justin Gause, 10524 Az-92, Hereford, AZ 85615 Ph: (520) 366-0300 |
Dr. Erik Arellano Sr., M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10524 E Highway 92, Hereford, AZ 85615 Phone: 520-366-0300 Fax: 520-366-0440 |