| Tristan Pico, MD | |
|
725 S Dobson Rd, Ste 100, Chandler, AZ 85224-5680 | |
| (602) 795-8700 | |
| (602) 795-8701 |
| Full Name | Tristan Pico |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 20 Years |
| Location | 725 S Dobson Rd, Chandler, 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 |
|---|---|---|---|
| 1508088196 | NPI | - | NPPES |
| 514699 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207LP2900X | Anesthesiology - Pain Medicine | DR.0066661 (Colorado) | Secondary |
| 207LP2900X | Anesthesiology - Pain Medicine | 42864 (Arizona) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Arizona Spine And Pain Specialists Llc | 7214251396 | 24 |
| Entity Name | Arizona Spine And Pain Specialists Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336552140 PECOS PAC ID: 7214251396 Enrollment ID: O20150120001820 |
| Mailing Address | Practice Location Address |
|---|---|
| Tristan Pico, MD 20280 N 59th Ave, Ste 115-617, Glendale, AZ 85308-6850 Ph: (602) 795-8700 | Tristan Pico, MD 725 S Dobson Rd, Ste 100, Chandler, AZ 85224-5680 Ph: (602) 795-8700 |
Dr. Khoa Dang Le, M. D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1955 W Frye Rd, Chandler, AZ 85224 Phone: 480-728-8000 Fax: 480-507-2971 | |
Naveen Reddy, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2705 S Alma School Rd, Ste 1, Chandler, AZ 85286 Phone: 480-820-7246 Fax: 480-897-7246 | |
Dr. David G. Ray, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 655 S Dobson Rd Ste 205, Chandler, AZ 85224 Phone: 480-563-6400 Fax: 480-563-8009 | |
Dr. David Wesley Herbert, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 3195 W Ray Rd Ste 1, Chandler, AZ 85226 Phone: 480-756-6789 Fax: 480-246-8902 | |
Scott E Pendleton, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1955 W Frye Rd, Chandler, AZ 85224 Phone: 480-728-3000 | |
Terry Ambus, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1955 W Frye Rd, Chandler, AZ 85224 Phone: 480-728-3000 | |
John E Goodpasture Jr., MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1955 W Frye Rd, Chandler, AZ 85224 Phone: 480-728-3000 Fax: 480-507-2971 |