Angelo A Petropolis, MD | |
1916 Paseo San Luis, Sierra Vista, AZ 85635 | |
(520) 458-1505 | |
(520) 458-6949 |
Full Name | Angelo A Petropolis |
---|---|
Gender | Male |
Speciality | Dermatology |
Experience | 39 Years |
Location | 1916 Paseo San Luis, Sierra Vista, 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 |
---|---|---|---|
1457391732 | NPI | - | NPPES |
AZ0776240 | Other | BCBS AZ | |
325242 | Medicaid | AZ | |
516118 | Other | AZ | AETNA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | 22192 (Arizona) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Epiphany Dermatology Of Arizona Llc | 9830181361 | 23 |
Entity Name | Epiphany Dermatology Of Arizona Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457465858 PECOS PAC ID: 9830181361 Enrollment ID: O20040402000307 |
Mailing Address | Practice Location Address |
---|---|
Angelo A Petropolis, MD 7300 Ranch Road 2222, Building 1, Ste 200, Austin, TX 78730 Ph: (512) 628-0465 | Angelo A Petropolis, MD 1916 Paseo San Luis, Sierra Vista, AZ 85635 Ph: (520) 458-1505 |
Matthew Crosby, D.O. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1916 Paseo San Luis, Sierra Vista, AZ 85635 Phone: 520-458-1505 | |
Dr. Richard Helge Weyer, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 165 El Camino Real, Sierra Vista, AZ 85635 Phone: 520-458-1787 Fax: 520-458-1519 | |
Dr. Christopher William Weyer, D.O. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 150 S Coronado Dr Ste 110, Sierra Vista, AZ 85635 Phone: 520-458-1787 Fax: 520-458-1519 |