| Pete Banchuin, MD | |
|
474 N Highway 89, Chino Valley, AZ 86323-5993 | |
| (928) 636-5680 | |
| (928) 636-5853 |
| Full Name | Pete Banchuin |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 6 Years |
| Location | 474 N Highway 89, Chino Valley, 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 |
|---|---|---|---|
| 1568811024 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | TL0006259 (Colorado) | Secondary |
| 207Q00000X | Family Medicine | 59230 (Arizona) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Yavapai Regional Medical Center | Prescott, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Yavapai Regional Medical Center Physician Care Llc | 5294898987 | 122 |
| Entity Name | Yavapai Regional Medical Center Physician Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255582003 PECOS PAC ID: 5294898987 Enrollment ID: O20090106000798 |
| Mailing Address | Practice Location Address |
|---|---|
| Pete Banchuin, MD Po Box 10880, Prescott, AZ 86304-0880 Ph: (602) 406-4786 | Pete Banchuin, MD 474 N Highway 89, Chino Valley, AZ 86323-5993 Ph: (928) 636-5680 |
Dr. Jean Earl, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 474 N Hwy 89, Chino Valley, AZ 86323 Phone: 928-636-5680 Fax: 928-636-5853 | |
Cheryl R Ree, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 474 N Hwy 89, Chino Valley, AZ 86323 Phone: 928-636-5680 Fax: 928-636-5853 | |
Dr. Scott S Ekdahl, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 474 N Us Highway 89, Chino Valley, AZ 86323 Phone: 928-636-5680 Fax: 928-636-5853 | |
Mr. Anthony Joseph Brown, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 474 N Hwy 89, Chino Valley, AZ 86323 Phone: 928-636-5680 Fax: 928-636-5853 |