Dr Michael J Demangone, MD | |
463 S Lake Powell Blvd, Page, AZ 86040-0790 | |
(928) 645-0945 | |
(928) 645-3254 |
Full Name | Dr Michael J Demangone |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 35 Years |
Location | 463 S Lake Powell Blvd, Page, 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 |
---|---|---|---|
1841294378 | NPI | - | NPPES |
141573 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 21633 (Arizona) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Dignity Health - Arizona General Hospital | Laveen, AZ | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Tec Emergency Physicians Of Arizona, Llc | 6204256084 | 116 |
Entity Name | Encompass Health Services Incorporated |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760453054 PECOS PAC ID: 8921065673 Enrollment ID: O20041214000589 |
Entity Name | Emergency Physicians Southwest Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912053752 PECOS PAC ID: 2264538529 Enrollment ID: O20070502000382 |
Entity Name | Emergency Group Of Arizona Professional Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215275433 PECOS PAC ID: 1355596644 Enrollment ID: O20130313000442 |
Entity Name | Tec Emergency Physicians Of Arizona, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245772870 PECOS PAC ID: 6204256084 Enrollment ID: O20201016000157 |
Mailing Address | Practice Location Address |
---|---|
Dr Michael J Demangone, MD P.o. Box 790, Page, AZ 86040-0790 Ph: (928) 645-1607 | Dr Michael J Demangone, MD 463 S Lake Powell Blvd, Page, AZ 86040-0790 Ph: (928) 645-0945 |
Dr. Raymond Lee Holsten, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 467 Vista Avenue, Page, AZ 86040 Phone: 928-645-8123 Fax: 928-645-3862 | |
Brenda Christine Pecotte De Gonzalez, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 437 Vista Ave, Page, AZ 86040 Phone: 928-645-8123 | |
Dr. Dennis James Foley, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 467 Vista Avenue, Page, AZ 86040 Phone: 928-645-8123 Fax: 928-645-3862 | |
David Hipkin, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 463 S. Lake Powell Blvd, Page, AZ 86040 Phone: 928-645-0945 Fax: 928-645-2364 | |
Dr. Eric P Wadleigh, DDS Family Medicine Medicare: Medicare Enrolled Practice Location: 436 Vist Ave, Page, AZ 86040 Phone: 928-645-2505 | |
Dr. Barbara M Zimmerman, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 467 Vista Avenue, Page, AZ 86040 Phone: 928-645-8123 Fax: 928-645-3862 | |
Dr. Matthew Nelson, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 467 Vista Ave, Page, AZ 86040 Phone: 928-645-8123 |