Dr Anthony Mannino, DO | |
126 E Main St, Ste B, Payson, AZ 85541 | |
(928) 468-8610 | |
(928) 468-8605 |
Full Name | Dr Anthony Mannino |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 126 E Main St, Payson, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700849072 | NPI | - | NPPES |
133760 | Medicaid | AZ | |
AZ0856210 | Other | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | DO02797 (Arizona) | Primary |
Entity Name | North Country Healthcare Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073583472 PECOS PAC ID: 8820981053 Enrollment ID: O20040210001107 |
Entity Name | Alliance Urgent Care Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891888517 PECOS PAC ID: 8022111749 Enrollment ID: O20070316000208 |
Entity Name | Dignity Community Care |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700910189 PECOS PAC ID: 9032458013 Enrollment ID: O20220909003085 |
Mailing Address | Practice Location Address |
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Dr Anthony Mannino, DO Po Box 3630, Flagstaff, AZ 86003-3630 Ph: (928) 522-9879 | Dr Anthony Mannino, DO 126 E Main St, Ste B, Payson, AZ 85541 Ph: (928) 468-8610 |
Mr. Michael Keene Demack, PA C S Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 806 S Ponderosa St, Payson, AZ 85541 Phone: 928-468-8603 Fax: 928-468-8625 | |
James W Schouten, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 708 Coeur D'alene, Payson, AZ 85541 Phone: 928-474-5259 Fax: 925-472-8832 | |
Dr. Kevin Kyle Raymer, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 126 E Main St Ste B, Payson, AZ 85541 Phone: 928-472-4675 Fax: 928-472-3431 | |
Jennifer Dumbolton, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 122 E Main St, Payson, AZ 85541 Phone: 928-474-2888 Fax: 928-474-2992 | |
Debbie Alaina Mcginn, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 117 E Main St Ste 100, Payson, AZ 85541 Phone: 928-596-4500 | |
Dr. John Howard Dumbolton, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 306 N Pioneer Trl, Payson, AZ 85541 Phone: 928-468-2195 | |
Dr. Naji Muwanas, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 815 W Overland Rd, Payson, AZ 85541 Phone: 562-489-6686 |