| Jesse Allen Hogan, OD | |
|
12033 Agency Rd, Parker, AZ 85344-7718 | |
| (928) 669-2137 | |
| (928) 669-3131 |
| Full Name | Jesse Allen Hogan |
|---|---|
| Gender | Male |
| Speciality | Optometry |
| Experience | 8 Years |
| Location | 12033 Agency Rd, Parker, 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 |
|---|---|---|---|
| 1134641343 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 10420331-9934 (Utah) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Parker Indian Health Center | Parker, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Dhhs Ihs Phoenix Area | 0244405629 | 38 |
| Dhhs Ihs Phoenix Area | 7810163011 | 18 |
| Provider Name | Dhhs,phs,naihs Gallup Indian Medical Center |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1225002322 PECOS PAC ID: 3173436409 Enrollment ID: O20031111000840 |
| Provider Name | Dhhs Ihs Phoenix Area |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1396022026 PECOS PAC ID: 0244405629 Enrollment ID: O20120105000013 |
| Provider Name | Dhhs Ihs Phoenix Area |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1265719934 PECOS PAC ID: 7810163011 Enrollment ID: O20120109000961 |
| Provider Name | Dhhs Ihs Phoenix Area |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1356628028 PECOS PAC ID: 9436325420 Enrollment ID: O20120222000148 |
| Provider Name | Irene Benn Medical Center |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1841535317 PECOS PAC ID: 0840430724 Enrollment ID: O20130717000832 |
| Mailing Address | Practice Location Address |
|---|---|
| Jesse Allen Hogan, OD 320 D St Unit 227, Boston, MA 02127-1276 Ph: () - | Jesse Allen Hogan, OD 12033 Agency Rd, Parker, AZ 85344-7718 Ph: (928) 669-2137 |
Dr. Dawn Aileen Kelly, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 12033 Agency Rd, Parker, AZ 85344 Phone: 928-669-3289 Fax: 928-669-3200 | |
Stuart Adams, O.D. PC Optometrist Medicare: Accepting Medicare Assignments Practice Location: 115 W Riverside Dr, Parker, AZ 85344 Phone: 928-669-2497 Fax: 928-669-8424 | |
Stuart Adams O.d Pc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 115 W Riverside Dr, Parker, AZ 85344 Phone: 928-669-2497 Fax: 928-669-8424 | |
Dr. Janelle M Froelich, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 12033 Agency Rd, Parker, AZ 85344 Phone: 928-669-3286 |