Dr Bruce M Palmer, MD | |
122 E Main St, Payson, AZ 85541-5574 | |
(928) 596-4600 | |
(928) 596-4620 |
Full Name | Dr Bruce M Palmer |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 18 Years |
Location | 122 E Main St, Payson, 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 |
---|---|---|---|
1326110743 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 133748 (Alaska) | Secondary |
208600000X | Surgery | 46540 (Arizona) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Banner Payson Medical Center | Payson, AZ | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Banner Physician Specialists Arizona Llc | 6204002272 | 255 |
Entity Name | Banner Physician Specialists Arizona Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316228802 PECOS PAC ID: 6204002272 Enrollment ID: O20111222000509 |
Mailing Address | Practice Location Address |
---|---|
Dr Bruce M Palmer, MD 122 E Main St, Payson, AZ 85541-5574 Ph: (928) 596-4600 | Dr Bruce M Palmer, MD 122 E Main St, Payson, AZ 85541-5574 Ph: (928) 596-4600 |
Luis Coppelli, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 708 Coeur D'alene, Payson, AZ 85541 Phone: 928-474-5259 Fax: 928-472-8832 | |
Mark D. Williams, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 803 S Ponderosa St, Suite C, Payson, AZ 85541 Phone: 928-472-1222 Fax: 928-472-1213 | |
Dr. Leroy Wombold, DO Surgery Medicare: Not Enrolled in Medicare Practice Location: 122 E Main St, Payson, AZ 85541 Phone: 928-596-4600 Fax: 928-596-4620 | |
Katharine Ann Raymer, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 803 S Ponderosa St, Ste. C, Payson, AZ 85541 Phone: 928-472-1222 Fax: 928-472-1213 |