Mark Blake Horton, MD | |
4212 N 16th St, Phoenix Indian Medical Center, Phoenix, AZ 85016-5319 | |
(602) 263-1511 | |
(602) 263-1619 |
Full Name | Mark Blake Horton |
---|---|
Gender | Male |
Speciality | Ophthalmology |
Location | 4212 N 16th St, 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 |
---|---|---|---|
1376556985 | NPI | - | NPPES |
290578 | Medicaid | AZ | |
AZ 0721700 | Other | AZ | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207W00000X | Ophthalmology | 16242 (Arizona) | Primary |
Entity Name | Dhhs Phs Naihs Shiprock Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780639971 PECOS PAC ID: 0749193837 Enrollment ID: O20031105000809 |
Mailing Address | Practice Location Address |
---|---|
Mark Blake Horton, MD Po Box 31001-0698, Pasadena, CA 91110-0698 Ph: (602) 263-1511 | Mark Blake Horton, MD 4212 N 16th St, Phoenix Indian Medical Center, Phoenix, AZ 85016-5319 Ph: (602) 263-1511 |
Dr. Christopher M. Fecarotta, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 9305 W Thomas Rd Ste 460, Phoenix, AZ 85037 Phone: 602-933-3937 Fax: 602-933-2409 | |
Aileen F Villareal, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 4400 N 32nd St, Ste 280, Phoenix, AZ 85018 Phone: 602-266-6888 Fax: 602-266-6895 | |
Mr. Sharam Danesh, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 4045 E Union Hills Dr Ste 115, Phoenix, AZ 85050 Phone: 602-368-3448 Fax: 602-357-3323 | |
Madhavi Kurli, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 19820 N 7th St, Suite 120, Phoenix, AZ 85024 Phone: 480-397-9560 Fax: 480-397-9561 | |
Rima Bharat Patel, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1750 E Glendale Ave, Phoenix, AZ 85020 Phone: 602-242-4928 Fax: 602-249-4813 | |
Daniel Patrick Dansdill, M.D. Ophthalmology Medicare: Medicare Enrolled Practice Location: 4800 N 22nd St Ste 120, Phoenix, AZ 85016 Phone: 602-955-1000 Fax: 602-508-4830 | |
James L Plotnik, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1920 E Cambridge Ave Ste 203, Phoenix, AZ 85006 Phone: 602-933-3937 Fax: 602-933-2409 |