Glenn Islat, MD | |
1850 N Central Ave, Suite 1600, Phoenix, AZ 85004-4633 | |
(602) 744-4765 | |
(602) 744-4799 |
Full Name | Glenn Islat |
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Gender | Male |
Speciality | Anesthesiology |
Location | 1850 N Central Ave, Phoenix, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295715902 | NPI | - | NPPES |
773300 | Medicaid | AZ | |
P00044582 | Other | MEDICARE RAILROAD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 21036 (Arizona) | Primary |
Entity Name | Banner -- University Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508809427 PECOS PAC ID: 7719899871 Enrollment ID: O20031105000694 |
Entity Name | B--umg Tucson Ap Physicians Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487178505 PECOS PAC ID: 1355616517 Enrollment ID: O20171013002780 |
Mailing Address | Practice Location Address |
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Glenn Islat, MD 645 E Missouri Ave, Ste 300, Phoenix, AZ 85012-1351 Ph: (602) 262-8900 | Glenn Islat, MD 1850 N Central Ave, Suite 1600, Phoenix, AZ 85004-4633 Ph: (602) 744-4765 |
Dr. Ahmar Husain, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1919 E Thomas Rd, Phoenix, AZ 85016 Phone: 602-933-4660 | |
Gerald D. Peiser, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 4441 E Mcdowell Rd, # 101, Phoenix, AZ 85008 Phone: 602-273-6770 Fax: 602-889-0489 | |
Asha Thakur, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1715 W Northern Ave, Suite 108, Phoenix, AZ 85021 Phone: 602-395-0718 Fax: 602-277-8146 | |
Joshua Aaron Bloomstone, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 645 E Missouri Ave Ste 300, Phoenix, AZ 85012 Phone: 602-262-8900 Fax: 602-262-8890 | |
Jeffrey Parker Morray, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 2901 North Central Ave, Ste 500, Phoenix, AZ 85012 Phone: 602-262-8900 Fax: 602-262-8919 | |
Dr. Eric L Pedicini, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1850 N Central Ave, Suite1600, Phoenix, AZ 85004 Phone: 602-262-8900 Fax: 602-262-8890 | |
Laura Kareen Griffin, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1919 E Thomas Rd, Phoenix, AZ 85016 Phone: 602-933-4660 Fax: 602-933-8945 |