| Breanne Elizabeth Haddock, PA | |
|
14416 W Meeker Blvd Bldg C, Building C, Sun City West, AZ 85375-5284 | |
| (623) 876-3800 | |
| Not Available |
| Full Name | Breanne Elizabeth Haddock |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 5 Years |
| Location | 14416 W Meeker Blvd Bldg C, Sun City West, Arizona |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992478754 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ochsner Lsu Health Shreveport | Shreveport, LA | Hospital |
| Banner Del E. Webb Medical Center | Sun city west, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Banner Physician Specialists Arizona Llc | 6204002272 | 371 |
| Lsu Health Sciences Center Shreveport Faculty Group Practice | 4082902721 | 567 |
| Bhsm Rehabilitation Llc | 2062773138 | 450 |
| Entity Name | Banner Physician Specialists Arizona LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821368218 PECOS PAC ID: 6204002272 Enrollment ID: O20111222000509 |
| Mailing Address | Practice Location Address |
|---|---|
| Breanne Elizabeth Haddock, PA 14416 W Meeker Blvd Bldg C, Sun City West, AZ 85375-5284 Ph: (623) 876-3800 | Breanne Elizabeth Haddock, PA 14416 W Meeker Blvd Bldg C, Building C, Sun City West, AZ 85375-5284 Ph: (623) 876-3800 |
Linsy Angela Townsend, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 14502 W Meeker Blvd, Sun City West, AZ 85375 Phone: 623-524-4000 |
Patrick Landon Burrup, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 14502 Meeker Blvd, Sun City West, AZ 85375 Phone: 623-214-4000 Fax: 623-975-8752 |
Bradford Gibson Tenney, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 14520 W Granite Valley Dr, Suite 210, Sun City West, AZ 85375 Phone: 623-537-5600 Fax: 866-939-2673 |
Miss Tasha Grissett, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 14502 W Meeker Blvd, Sun City West, AZ 85375 Phone: 623-524-8767 |
Jason Muesch, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 14502 W Meeker Blvd, Sun City West, AZ 85375 Phone: 623-524-4000 |
Benito B Rodriguez, PA C Physician Assistant Medicare: Medicare Enrolled Practice Location: 14502 W Meeker Blvd, Sun City West, AZ 85375 Phone: 623-214-4000 Fax: 623-214-4000 |
Stephanie Verrell, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 14502 W Meeker Blvd, Banner Del E. Webb Emergency Dept, Sun City West, AZ 85375 Phone: 623-524-4067 |