| Mr Derek Robert Brown, PA | |
|
13677 W Mcdowell Rd, Goodyear, AZ 85338-2618 | |
| (480) 227-2203 | |
| (480) 726-2481 |
| Full Name | Mr Derek Robert Brown |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 13677 W Mcdowell Rd, Goodyear, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548241656 | NPI | - | NPPES |
| 725012 | Medicaid | AZ | |
| 39-57220 | Other | AZ | EVERCARE GROUP |
| AW1436 | Other | AZ | HEALTHNET GROUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 2685 (Arizona) | Primary |
| Entity Name | Mountain Vista Emergency Physicians, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164642963 PECOS PAC ID: 8325139223 Enrollment ID: O20070807000555 |
| Entity Name | Emergency Group of Arizona Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215275433 PECOS PAC ID: 1355596644 Enrollment ID: O20130313000442 |
| Entity Name | Tec Emergency Physicians of Arizona, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245772870 PECOS PAC ID: 6204256084 Enrollment ID: O20201016000157 |
| Entity Name | Empower St Josephs PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154015089 PECOS PAC ID: 2961866173 Enrollment ID: O20231222001956 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Derek Robert Brown, PA 1159 E Knight Ln, Tempe, AZ 85284-1518 Ph: (480) 227-2203 | Mr Derek Robert Brown, PA 13677 W Mcdowell Rd, Goodyear, AZ 85338-2618 Ph: (480) 227-2203 |
Robert Mark Cobo, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 13657 W Mcdowell Rd Ste 220, Goodyear, AZ 85395 Phone: 623-848-5609 |
Brendan Davis, PA-C Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 13677 W Mcdowell Rd, Goodyear, AZ 85395 Phone: 623-882-1500 |
Frederick T Warner, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 13677 W Mcdowell Rd, Goodyear, AZ 85395 Phone: 623-882-1500 |
Dr. George Shepard Iii, MD MBA Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 13677 W Mcdowell Rd, Goodyear, AZ 85338 Phone: 623-882-1500 |
Michael Patrick Wurzer, DO Emergency Medicine Medicare: May Accept Medicare Assignments Practice Location: 13657 W Mcdowell Rd Ste 220, Goodyear, AZ 85395 Phone: 623-848-5609 |
William Mati, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 13657 W Mcdowell Rd Ste 220, Goodyear, AZ 85395 Phone: 623-848-5609 |
Dr. Timothy Owen Pfeiffer, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 13677 W Mcdowell Rd, Goodyear, AZ 85338 Phone: 623-882-1500 |