| Mr Dale Wayne Flewelling, NP-C | |
|
9305 W Thomas Rd Ste 500, Phoenix, AZ 85037-3354 | |
| (623) 792-1600 | |
| (602) 464-7427 |
| Full Name | Mr Dale Wayne Flewelling |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 21 Years |
| Location | 9305 W Thomas Rd Ste 500, Phoenix, 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 |
|---|---|---|---|
| 1417912700 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | 1417912700 (Arizona) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Canyon Pain And Spine | 3870992647 | 17 |
| Entity Name | Canyon Pain and Spine |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518547769 PECOS PAC ID: 3870992647 Enrollment ID: O20210527000959 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Dale Wayne Flewelling, NP-C 9305 W Thomas Rd Ste 500, Phoenix, AZ 85037-3354 Ph: (623) 792-1600 | Mr Dale Wayne Flewelling, NP-C 9305 W Thomas Rd Ste 500, Phoenix, AZ 85037-3354 Ph: (623) 792-1600 |
Azizat Mojibola Dawodu, MD Pain Medicine Medicare: Not Enrolled in Medicare Practice Location: 5777 E Mayo Blvd, Phoenix, AZ 85054 Phone: 480-515-6296 |
Dr. Sean James Gamble, M.D. Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 1919 E Thomas Rd, Phoenix, AZ 85016 Phone: 602-933-7246 Fax: 602-933-4341 |
Kyle Steven Malek, MD Pain Medicine Medicare: Medicare Enrolled Practice Location: 5777 E Mayo Blvd, Phoenix, AZ 85054 Phone: 480-574-2151 |
Paola V. Genovese, MD Pain Medicine Medicare: Medicare Enrolled Practice Location: 1919 E Thomas Rd, Phoenix, AZ 85016 Phone: 602-933-7246 Fax: 602-933-4341 |
Dr. Gobi Kumar Paramanandam, M.D. Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 4611 E Shea Blvd Ste 190, Phoenix, AZ 85028 Phone: 480-889-0180 Fax: 480-889-0186 |
Dr. John P Badalamenti, M.D Pain Medicine Medicare: Not Enrolled in Medicare Practice Location: 4350 E Camelback Rd, F-100, Phoenix, AZ 85018 Phone: 602-955-8700 Fax: 602-553-8142 |
Mr. Brandon Drew Ochs, NURSE PRACTITIONER Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 2222 W Dunlap Ave # 190, Phoenix, AZ 85021 Phone: 602-325-2024 Fax: 720-925-5897 |