Edward W Bradshaw Iii (NPI# 1235192774, PAC ID# 3678540671) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1235192774 |
| PAC ID by PECOS | 3678540671 |
| Professional Enrollment ID | I20150909000969 |
| Full Name | Edward W Bradshaw Iii |
| Organization Legal Name | PANACEA BRAIN AND SPINE LLC |
| Address |
297 Lake Havasu Ave S Suite 204 Lake Havasu City AZ 86403-6526 |
| Phone Number | 9284532211 |
| Gender | M |
| Credential | PA |
| Graduation Year | 1979 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 0648423525 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 031317 | LA PAZ REGIONAL HOSPITAL |
| 030069 | HAVASU REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 297 Lake Havasu Ave S, Suite 204, Lake Havasu City, AZ 86403-6526 | 9284532211 | PANACEA BRAIN AND SPINE LLC |
| Organization Legal Name | PANACEA BRAIN AND SPINE LLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John Eric Lankenau | Orthopedic Surgery | Panacea Brain and Spine LLC | 297 Lake Havasu Ave S, Suite 204, Lake Havasu City, AZ 86403-6526 |
| Chad E Hartley | Neurosurgery | Panacea Brain and Spine LLC | 297 Lake Havasu Ave S, Suite 204, Lake Havasu City, AZ 86403-6526 |
| Street Address |
297 LAKE HAVASU AVE S SUITE 204 |
| City | LAKE HAVASU CITY |
| State | AZ |
| Zip | 86403-6526 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tom D Bennetch | Physical Therapy | True Rehab of Arizona,llc | 297 Lake Havasu Ave S, Suite 102, Lake Havasu City, AZ 86403-6526 |
| Stacy L Beck | Physical Therapy | True Rehab of Arizona,llc | 297 Lake Havasu Ave S, Suite 102, Lake Havasu City, AZ 86403-6526 |
| Summer Y Tilgner | Nurse Practitioner | 297 Lake Havasu Ave S, Suite 200, Lake Havasu City, AZ 86403-6526 | |
| John Eric Lankenau | Orthopedic Surgery | Panacea Brain and Spine LLC | 297 Lake Havasu Ave S, Suite 204, Lake Havasu City, AZ 86403-6526 |
| Chad E Hartley | Neurosurgery | Panacea Brain and Spine LLC | 297 Lake Havasu Ave S, Suite 204, Lake Havasu City, AZ 86403-6526 |
| 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 | PHYSICIAN ASSISTANT |
| City + Specialty | LAKE HAVASU CITY + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Edward W Bradshaw Iii.
| 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.