Dr Gholam A Peyman, MD | |
13624 W Camino Del Sol Ste 200b, Sun City West, AZ 85375-3401 | |
(623) 474-3937 | |
(623) 289-7901 |
Full Name | Dr Gholam A Peyman |
---|---|
Gender | Male |
Speciality | Ophthalmology |
Location | 13624 W Camino Del Sol Ste 200b, Sun City West, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225038946 | NPI | - | NPPES |
111874 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207WX0107X | Ophthalmology - Retina Specialist | 31729 (Arizona) | Secondary |
207W00000X | Ophthalmology | 31729 (Arizona) | Primary |
Entity Name | Arizona Macular Degeneration Center Of Excellence |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780963611 PECOS PAC ID: 7315119344 Enrollment ID: O20111017000254 |
Mailing Address | Practice Location Address |
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Dr Gholam A Peyman, MD 13624 W Camino Del Sol Ste 200b, Sun City West, AZ 85375-3401 Ph: (623) 474-3937 | Dr Gholam A Peyman, MD 13624 W Camino Del Sol Ste 200b, Sun City West, AZ 85375-3401 Ph: (623) 474-3937 |
Janette De Block, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 14506 W Granite Valley Dr, Suite 117, Sun City West, AZ 85375 Phone: 623-214-1220 Fax: 623-516-9860 | |
Daniel James Briceland, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 13624 W Camino Del Sol Ste 200, Sun City West, AZ 85375 Phone: 623-546-2020 Fax: 623-546-2399 | |
Dr. Mandi D Conway, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 13624 W Camino Del Sol, Sun City West, AZ 85375 Phone: 623-474-3937 Fax: 623-289-7901 | |
Mark F Johnson, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 14416 W Meeker Blvd, Bldg C, Sun City West, AZ 85375 Phone: 623-583-5180 Fax: 523-546-8458 |