Dr Matthew D Callister, MD | |
2940 E Banner Gateway Dr, Suite 450, Gilbert, AZ 85234-2168 | |
(480) 256-6444 | |
Not Available |
Full Name | Dr Matthew D Callister |
---|---|
Gender | Male |
Speciality | Radiology - Radiation Oncology |
Location | 2940 E Banner Gateway Dr, Gilbert, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124000948 | NPI | - | NPPES |
855471 | Medicaid | AZ | |
86080015085054B049 | Other | AZ | TRIWEST |
86080015085259C434 | Other | AZ | TRIWEST |
P00187177 | Other | AZ | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0001X | Radiology - Radiation Oncology | 32639 (Arizona) | Primary |
Entity Name | Banner Cancer Center Specialists Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518253152 PECOS PAC ID: 6103097779 Enrollment ID: O20110913000224 |
Mailing Address | Practice Location Address |
---|---|
Dr Matthew D Callister, MD 2940 E Banner Gateway Dr, Suite 450, Gilbert, AZ 85234-2168 Ph: (480) 256-6444 | Dr Matthew D Callister, MD 2940 E Banner Gateway Dr, Suite 450, Gilbert, AZ 85234-2168 Ph: (480) 256-6444 |
Dr. Georg Hernandez, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 4001 E Baseline Rd Ste 105, Gilbert, AZ 85234 Phone: 480-632-5378 Fax: 480-632-1821 | |
Yerko O Borghero, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2940 E Banner Gateway Dr, Suite 450, Gilbert, AZ 85234 Phone: 480-256-3676 Fax: 480-256-3608 | |
Dr. Joel R Meyer, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: Banner Md Anderson Cancer Center, 2940 E. Banner Gateway Drive Suite 350, Gilbert, AZ 85234 Phone: 480-256-6444 Fax: 480-256-3682 | |
Sarah E Nicholas, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: Banner Md Anderson Cancer Center, 2946 E. Banner Gateway Drive, Gilbert, AZ 85234 Phone: 480-256-6444 Fax: 480-256-3682 | |
Dr. Philippe Lanauze, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2946 E Banner Gateway Dr., Gilbert, AZ 85234 Phone: 480-256-6444 Fax: 480-256-4683 | |
Gary Walker, M.D., M.P.H., M.S. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2946 E Banner Gateway Dr, Gilbert, AZ 85234 Phone: 480-256-4500 |