Daniel Anthony Calabrese, MD | |
1896 E. Babbit Lane, San Luis, AZ 85349-1669 | |
(928) 722-6112 | |
(928) 722-6113 |
Full Name | Daniel Anthony Calabrese |
---|---|
Gender | Male |
Speciality | Pediatrics - Neonatal-perinatal Medicine |
Location | 1896 E. Babbit Lane, San Luis, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881889103 | NPI | - | NPPES |
324722 | Medicaid | AZ | |
Z156217 | Other | AZ | MEDICARE PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080N0001X | Pediatrics - Neonatal-perinatal Medicine | 37902 (Arizona) | Primary |
Entity Name | San Luis Walk-in Clinic Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104228337 PECOS PAC ID: 2668361841 Enrollment ID: O20040514000795 |
Mailing Address | Practice Location Address |
---|---|
Daniel Anthony Calabrese, MD Po Box 617, Somerton, AZ 85350-0617 Ph: (928) 662-0406 | Daniel Anthony Calabrese, MD 1896 E. Babbit Lane, San Luis, AZ 85349-1669 Ph: (928) 722-6112 |
Dr. Ramon Carampatan, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1896 E Babbit Ln, San Luis, AZ 85336 Phone: 928-722-6112 Fax: 928-550-5466 | |
Sucharitha Gunasekera, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 815 E Juan Sanchez Blvd, San Luis, AZ 85349 Phone: 928-627-3822 Fax: 928-627-3989 | |
Victoria Lasala, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1896 E Babbitt Ln, San Luis, AZ 85349 Phone: 928-722-6112 Fax: 928-722-6113 | |
Dr. Mohamed H. El-gasim, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1896 E Babbit Ln, San Luis, AZ 85336 Phone: 928-722-6112 | |
Jean M. Amon, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1896 E. Babbit Ln, Suite D, San Luis, AZ 85349 Phone: 928-722-6112 Fax: 928-722-6113 | |
Dr. Leonardo Rodriguez, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1896 E Babbitt Ln, San Luis, AZ 85349 Phone: 928-722-6112 Fax: 928-722-6113 |