| Mark Skousen, | |
|
1745 W Western Dove Dr, Snowflake, AZ 85937-6185 | |
| (480) 586-0035 | |
| Not Available |
| Full Name | Mark Skousen |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 1745 W Western Dove Dr, Snowflake, 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 |
|---|---|---|---|
| 1013529155 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 246528 (Arizona) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Changepoint Integrated Health | 8123004587 | 11 |
| Entity Name | Changepoint Integrated Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205877610 PECOS PAC ID: 8123004587 Enrollment ID: O20040625001074 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Skousen, 1745 W Western Dove Dr, Snowflake, AZ 85937-6185 Ph: (480) 586-0035 | Mark Skousen, 1745 W Western Dove Dr, Snowflake, AZ 85937-6185 Ph: (480) 586-0035 |
Mr. Ronald Joe Byrd, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 590 S Main St, Snowflake, AZ 85937 Phone: 928-536-7519 Fax: 928-536-7305 | |
Dustin Kyle Baldwin, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 590 S Main St, Snowflake, AZ 85937 Phone: 928-536-7519 Fax: 928-532-2139 | |
Mrs. Deborah Kim Gardner, APRN, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 590 S Main St, Snowflake, AZ 85937 Phone: 928-536-7519 Fax: 928-532-2139 | |
Michelle Hardesty, FAMILY NURSE PRACTIT Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Po Box 1626, Snowflake, AZ 85937 Phone: 928-243-7157 |