| Paul Edward Walshaw, MD | |
|
450 S Ocotillo Ave, Benson, AZ 85602-6403 | |
| (520) 623-2642 | |
| (520) 327-9300 |
| Full Name | Paul Edward Walshaw |
|---|---|
| Gender | Male |
| Speciality | Nephrology |
| Experience | 34 Years |
| Location | 450 S Ocotillo Ave, Benson, 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 |
|---|---|---|---|
| 1023014586 | NPI | - | NPPES |
| 123577 | Other | HEALTHNET | |
| 379728 | Medicaid | AZ | |
| 5231587 | Other | ASTNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RN0300X | Internal Medicine - Nephrology | 24073 (Arizona) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Tucson South Central Dialysis (dva) | Tucson, AZ | Dialysis facility |
| Tucson Medical Center | Tucson, AZ | Hospital |
| Benson Hospital | Benson, AZ | Hospital |
| St Joseph's Hospital | Tucson, AZ | Hospital |
| Northern Cochise Community Hospital, Inc. | Willcox, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southwest Kidney Institute Plc | 8224930987 | 93 |
| Entity Name | Southwest Kidney Institute Plc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659316008 PECOS PAC ID: 8224930987 Enrollment ID: O20040211001069 |
| Entity Name | Southwest Kidney Institute Scottsdale Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902231012 PECOS PAC ID: 3577798313 Enrollment ID: O20131101000457 |
| Mailing Address | Practice Location Address |
|---|---|
| Paul Edward Walshaw, MD 2149 E Warner Rd, Ste 102, Tempe, AZ 85284-3495 Ph: (480) 610-6100 | Paul Edward Walshaw, MD 450 S Ocotillo Ave, Benson, AZ 85602-6403 Ph: (520) 623-2642 |
Dr. Glenn Gary Robertson, MD Nephrology Medicare: Not Enrolled in Medicare Practice Location: 1069 S Highway 80, Benson, AZ 85602 Phone: 520-720-6226 Fax: 877-795-9311 | |
Craig R Ottenstein, MD Nephrology Medicare: Not Enrolled in Medicare Practice Location: 300 S Ocotillo Ave, Benson, AZ 85602 Phone: 520-586-9111 Fax: 520-586-9091 | |
Michael R Gray, M.D. Nephrology Medicare: Medicare Enrolled Practice Location: 300 S Ocotillo Ave, Benson, AZ 85602 Phone: 520-586-9111 Fax: 520-586-9091 | |
Dr. Cassandra Clare Harrison, M.D. Nephrology Medicare: Not Enrolled in Medicare Practice Location: 890 W 4th St, Benson, AZ 85602 Phone: 520-498-6467 Fax: 520-531-1424 |