| Brittney Mahnke, ACNP-AG | |
|
101 Civic Center Ln, Lake Havasu City, AZ 86403-5607 | |
| (928) 302-5402 | |
| (928) 302-5906 |
| Full Name | Brittney Mahnke |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 7 Years |
| Location | 101 Civic Center Ln, Lake Havasu City, 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 |
|---|---|---|---|
| 1265091276 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2100X | Nurse Practitioner - Acute Care | 225684 (Arizona) | Secondary |
| 363LG0600X | Nurse Practitioner - Gerontology | 225684 (Arizona) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Havasu Regional Medical Center | Lake havasu city, AZ | Hospital |
| La Paz Regional Hospital | Parker, AZ | Hospital |
| Valley View Medical Center | Fort mohave, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Apogee Medical Group Inc | 2961314265 | 91 |
| Lakeside Heart And Vascular Center Pllc | 4587832779 | 27 |
| Entity Name | Apogee Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760652218 PECOS PAC ID: 2961314265 Enrollment ID: O20031104000688 |
| Entity Name | Lakeside Heart And Vascular Center Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801194352 PECOS PAC ID: 4587832779 Enrollment ID: O20110713000658 |
| Entity Name | Southwest Primary Care Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942691399 PECOS PAC ID: 0840510251 Enrollment ID: O20150527001478 |
| Mailing Address | Practice Location Address |
|---|---|
| Brittney Mahnke, ACNP-AG 781 Rolling Hills Dr, Lake Havasu City, AZ 86406-7193 Ph: (928) 208-6089 | Brittney Mahnke, ACNP-AG 101 Civic Center Ln, Lake Havasu City, AZ 86403-5607 Ph: (928) 302-5402 |
Blondena Unlia Miley, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 309 Lake Havasu Ave S, Lake Havasu City, AZ 86403 Phone: 928-453-1970 Fax: 855-538-3082 | |
Nikola Marie Neill, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1760 Mcculloch Blvd N, Ste 100, Lake Havasu City, AZ 86403 Phone: 928-854-5368 Fax: 928-854-4462 | |
Ms. Stephanie Louise Herrick, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1987 Mcculloch Blvd N, Ste 101, Lake Havasu City, AZ 86403 Phone: 928-453-6963 Fax: 928-453-7011 | |
June Staley, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1845 Mcculloch Blvd N, Suite B-1, Lake Havasu City, AZ 86403 Phone: 928-453-2661 Fax: 928-453-2672 | |
Stephanie R Brison, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1851 Mesquite Ave, Lake Havasu City, AZ 86403 Phone: 928-854-0060 | |
Allison Johnson, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 Civic Center Ln, Lake Havasu City, AZ 86403 Phone: 928-855-8185 | |
Darion Alexxis Roush, AGACNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 101 Civic Center Ln, Lake Havasu City, AZ 86403 Phone: 928-855-8185 |