Dr Aubrey M Palestrant, MD | |
19829 N 27th Ave, Phoenix, AZ 85027-4001 | |
(623) 879-5720 | |
Not Available |
Full Name | Dr Aubrey M Palestrant |
---|---|
Gender | Male |
Speciality | Radiology - Vascular & Interventional Radiology |
Location | 19829 N 27th Ave, Phoenix, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174595110 | NPI | - | NPPES |
300124482 | Other | AZ | RR MEDICARE |
256299 | Medicaid | AZ | |
AZ0221810 | Other | BCBSAZ | |
1Z7086 | Other | AZ | HEALTH NET OF AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 13416 (Arizona) | Secondary |
2085R0204X | Radiology - Vascular & Interventional Radiology | 13416 (Arizona) | Primary |
Entity Name | Mdig Of Arizona, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477056661 PECOS PAC ID: 5294080891 Enrollment ID: O20180622001741 |
Mailing Address | Practice Location Address |
---|---|
Dr Aubrey M Palestrant, MD 10835 N 25th Ave, Ste 240, Phoenix, AZ 85029-3458 Ph: (603) 294-3920 | Dr Aubrey M Palestrant, MD 19829 N 27th Ave, Phoenix, AZ 85027-4001 Ph: (623) 879-5720 |
Donald A Tobias, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 97 Biltmore Est, Phoenix, AZ 85016 Phone: 602-956-3209 | |
Daniel Fosu, Radiology Medicare: Not Enrolled in Medicare Practice Location: 16220 N 7th St Apt 2136, Phoenix, AZ 85022 Phone: 480-469-0283 | |
Sanford Ornstein, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 350 W Thomas Rd, Phoenix, AZ 85013 Phone: 602-406-3430 Fax: 602-406-4058 | |
Dr. Abhilash P Nambiar, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 4611 E Shea Blvd Ste 120, Phoenix, AZ 85028 Phone: 602-441-3845 | |
Dr. Tilina N. Hu, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 350 W Thomas Rd, Radiology Department, Phoenix, AZ 85013 Phone: 602-406-3430 Fax: 602-406-2340 | |
Alicia Chen, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 5777 E Mayo Blvd, Phoenix, AZ 85054 Phone: 480-301-8000 | |
Joel James Hayden, MD Radiology Medicare: Medicare Enrolled Practice Location: 350 W Thomas Rd, Phoenix, AZ 85013 Phone: 602-406-3430 Fax: 602-406-2340 |