| Mr Christopher S Lichtenwalter, MD | |
|
10238 E Hampton Ave, Suite 501, Mesa, AZ 85209-3316 | |
| (480) 889-1573 | |
| (480) 889-1574 |
| Full Name | Mr Christopher S Lichtenwalter |
|---|---|
| Gender | Male |
| Speciality | Cardiovascular Disease (cardiology) |
| Experience | 23 Years |
| Location | 10238 E Hampton Ave, 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 |
|---|---|---|---|
| 1275582132 | NPI | - | NPPES |
| 526239 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 43102 (Arizona) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Chandler Regional Medical Center | Chandler, AZ | Hospital |
| Banner Heart Hospital | Mesa, AZ | Hospital |
| Mercy Gilbert Medical Center | Gilbert, AZ | Hospital |
| Mountain Vista Medical Center, Lp | Mesa, AZ | Hospital |
| Banner Baywood Medical Center | Mesa, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cai Ncp East Mesa Jv Llc | 2264847466 | 5 |
| Entity Name | Cai Ncp East Mesa Jv Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528673092 PECOS PAC ID: 2264847466 Enrollment ID: O20210222001667 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Christopher S Lichtenwalter, MD 10238 E Hampton Ave, Suite 501, Mesa, AZ 85209-3316 Ph: (480) 889-1573 | Mr Christopher S Lichtenwalter, MD 10238 E Hampton Ave, Suite 501, Mesa, AZ 85209-3316 Ph: (480) 889-1573 |
Ankur Panchal, Cardiovascular Disease Medicare: May Accept Medicare Assignments Practice Location: 6424 E Broadway Rd Ste 105, Mesa, AZ 85206 Phone: 480-733-7500 | |
Yury Fomin, MD Cardiovascular Disease Medicare: May Accept Medicare Assignments Practice Location: 1400 S Dobson Road, Mesa, AZ 85202 Phone: 480-412-6788 Fax: 480-412-6848 | |
Dr. Emmanuel A Bayongan, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1400 S Dobson Rd, Mesa, AZ 85202 Phone: 480-543-2034 Fax: 480-512-6089 | |
Dr. Sanjeev Gopal, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 6424 E Broadway Rd, 104-105, Mesa, AZ 85206 Phone: 602-802-8700 Fax: 602-802-8799 | |
Dr. Alpesh Patel, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 10238 E Hampton Ave Ste 205, Mesa, AZ 85209 Phone: 480-701-7687 | |
Mouhsen H Alhakeem, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1400 S Dobson Road, Attn Amanda Gump/hospitalist, Mesa, AZ 85202 Phone: 480-412-6788 Fax: 480-412-6848 | |
Dr. Bindu Jayavelu, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 301 S Power Rd Ste 103, Mesa, AZ 85206 Phone: 480-325-7535 Fax: 480-325-7462 |