Dr Marco Valerio Canulla, MD | |
14044 W Camelback Rd Ste 118, Litchfield Park, AZ 85340-9481 | |
(623) 584-4882 | |
(623) 584-6732 |
Full Name | Dr Marco Valerio Canulla |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 33 Years |
Location | 14044 W Camelback Rd Ste 118, Litchfield Park, 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 |
---|---|---|---|
1194700286 | NPI | - | NPPES |
348583 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 38460 (Oklahoma) | Primary |
208600000X | Surgery | 24230 (Arizona) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Mercy Hospital Oklahoma City, Inc | Oklahoma city, OK | Hospital |
Mountainview Hospital | Las vegas, NV | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mercy Clinic Oklahoma Communities | 1153468921 | 502 |
Entity Name | Mercy Clinic Oklahoma Communities |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386874550 PECOS PAC ID: 1153468921 Enrollment ID: O20091027000755 |
Entity Name | Okc Surgicalists Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639642655 PECOS PAC ID: 5092058156 Enrollment ID: O20190514001007 |
Mailing Address | Practice Location Address |
---|---|
Dr Marco Valerio Canulla, MD Po Box 21647, Tampa, FL 33622-1647 Ph: (405) 696-0030 | Dr Marco Valerio Canulla, MD 14044 W Camelback Rd Ste 118, Litchfield Park, AZ 85340-9481 Ph: (623) 584-4882 |
Ryan Wesley Jones, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 14044 W Camelback Rd Ste 226, Litchfield Park, AZ 85340 Phone: 623-233-1050 Fax: 623-215-7137 | |
Collin D Johnston, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 14044 W Camelback Rd Ste 226, Litchfield Park, AZ 85340 Phone: 623-233-1050 Fax: 623-248-6952 | |
Dr. William John Kennell, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 14257 W Greentree Dr S, Litchfield Park, AZ 85340 Phone: 602-739-5905 Fax: 623-965-7888 |