Michelle J Debellis (NPI# 1336193168, PAC ID# 1759364979) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1336193168 |
| PAC ID by PECOS | 1759364979 |
| Professional Enrollment ID | I20150720002400 |
| Full Name | Michelle J Debellis |
| Organization Legal Name | SOUTHWESTERN EYE CENTER, LTD |
| Address |
40 Capri Blvd Suite 102 Lake Havasu City AZ 86403-5661 |
| Phone Number | 9288550477 |
| Gender | F |
| Credential | CNA |
| Graduation Year | 1996 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 1850296989 |
| Number of Group Practice Members | 83 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 030069 | HAVASU REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 101 Civic Ctr Ln, Lake Havasu City, AZ 86403-5607 | 9288558185 | VALLEY ANESTHESIOLOGY CONSULTANTS INC |
| 40 Capri Blvd, Suite 102, Lake Havasu City, AZ 86403-5661 | 9288550477 | SOUTHWESTERN EYE CENTER, LTD |
| Organization Legal Name | SOUTHWESTERN EYE CENTER, LTD |
| Physicians | 75 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher David Hess | Certified Registered Nurse Anesthetist (crna) | Southwestern Eye Center, Ltd | 5251 W Campbell, Suite 102, Phoenix, AZ 85031-1718 |
| Michael B Horsley | Ophthalmology | Southwestern Eye Center, Ltd | 10615 W Thunderbird Bldg, A100, Sun City, AZ 85351-3018 |
| Daryl Thomas Harriman | Certified Registered Nurse Anesthetist (crna) | Southwestern Eye Center, Ltd | 1919 Florence Ave, Kingman, AZ 86401-4684 |
| Timothy Sinek | Optometry | Southwestern Eye Center, Ltd | 1055 S Stapley Dr, Mesa, AZ 85204-5013 |
| Robert L Villalobos Jr. | Ophthalmology | Southwestern Eye Center, Ltd | 2030 S Solano Dr, Las Cruces, NM 88001-5402 |
| Matthew D Palmer | Optometry | Southwestern Eye Center, Ltd | 3301 N Miller Rd, Suite 140, Scottsdale, AZ 85251-6990 |
| Jeffrey A Jackson | Optometry | Southwestern Eye Center, Ltd | 560 N Camino Mercado, Suite 1, Casa Grande, AZ 85122-5759 |
| James T Hooper | Optometry | Southwestern Eye Center, Ltd | 75 Colonia De Salud, 100a, Sierra Vista, AZ 85635-2485 |
| Stephen Stahl | Optometry | Southwestern Eye Center, Ltd | 1600 Willow Creek Rd, Prescott, AZ 86301-1108 |
| Guy T Mcdougal | Optometry | Southwestern Eye Center, Ltd | 110 S Idaho Rd, Apache Junction, AZ 85119-2379 |
| Street Address |
40 CAPRI BLVD SUITE 102 |
| City | LAKE HAVASU CITY |
| State | AZ |
| Zip | 86403-5661 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael Campion | Ophthalmology | Barnet Dulaney Perkins Eye Center, Pllc | 40 Capri Blvd, Suite 201, Lake Havasu City, AZ 86403-5661 |
| Bryant M Senica | Optometry | Barnet Dulaney Perkins Eye Center, Pllc | 40 Capri Blvd, Suite 201, Lake Havasu City, AZ 86403-5661 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Essa J Sidiqi | Family Medicine | Lake Havasu Primary Care Pllc | 89 Civic Ctr Ln, Lake Havasu City, AZ 86403-0810 |
| Harley Finkle | Chiropractic | 1674 Mcculloch Blvd N, Lake Havasu City, AZ 86403-0962 | |
| Mary Ann Widman | Nurse Practitioner | Hrmc, LLC | 1799 Kiowa Ave, Suite 104, Lake Havasu City, AZ 86403-2867 |
| Paul E Klein | Nurse Practitioner | Hrmc, LLC | 1799 Kiowa Ave, Suite 104, Lake Havasu City, AZ 86403-2867 |
| Annette Baccus | Nurse Practitioner | Havasu Regional Medical Center LLC | 1799 Kiowa Ave, Suite 104, Lake Havasu City, AZ 86403-2867 |
| Christian L Grandell | Physician Assistant | Fps Medical Center Ltd | 1720 Mesquite Ave, Suite 100, Lake Havasu City, AZ 86403-5602 |
| Peter H Dux | Family Medicine | Fps Medical Center Ltd | 1720 Mesquite Ave, Suite 100, Lake Havasu City, AZ 86403-5602 |
| Jeffrey J Carls | Family Medicine | Fps Medical Center Ltd | 1720 Mesquite Ave, Suite 100, Lake Havasu City, AZ 86403-5602 |
| Lisa V Williams | Physician Assistant | Fps Medical Center Ltd | 1720 Mesquite Ave, Suite 100, Lake Havasu City, AZ 86403-5602 |
| Bridget C Conley | Physician Assistant | Fps Medical Center Ltd | 1720 Mesquite Ave, Suite 100, Lake Havasu City, AZ 86403-5602 |
| Find all physicians in zip 86403 | |||
| City | LAKE HAVASU CITY |
| Zip Code | 86403 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | LAKE HAVASU CITY + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.