Philip Gleason, MD | |
4614 E Shea Blvd, D-110, Phoenix, AZ 85028-3070 | |
(480) 404-3700 | |
Not Available |
Full Name | Philip Gleason |
---|---|
Gender | Male |
Speciality | Urology |
Location | 4614 E Shea Blvd, 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 |
---|---|---|---|
1871585810 | NPI | - | NPPES |
696065 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 30105 (Arizona) | Primary |
Entity Name | District Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336472448 PECOS PAC ID: 7315086691 Enrollment ID: O20091125000583 |
Entity Name | Banner Physician Super Specialists Arizona Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841573870 PECOS PAC ID: 7911173794 Enrollment ID: O20111228000353 |
Entity Name | Northern Arizona Healthcare Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669914552 PECOS PAC ID: 3577473362 Enrollment ID: O20170801003409 |
Mailing Address | Practice Location Address |
---|---|
Philip Gleason, MD 4614 E Shea Blvd, D-110, Phoenix, AZ 85028-3070 Ph: (480) 404-3700 | Philip Gleason, MD 4614 E Shea Blvd, D-110, Phoenix, AZ 85028-3070 Ph: (480) 404-3700 |
Dr. Donald E Novicki, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 5779 E Mayo Blvd, Phoenix, AZ 85054 Phone: 480-301-8000 | |
Dr. Scott K Swanson, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 5779 E Mayo Blvd, Phoenix, AZ 85054 Phone: 480-301-8000 | |
Robert B. Bailey Jr., M.D. Urology Medicare: Medicare Enrolled Practice Location: 1920 E Cambridge Ave, Suite 302, Phoenix, AZ 85006 Phone: 602-279-1697 Fax: 602-264-0461 | |
Dr. Ryan James Powers, DO Urology Medicare: Accepting Medicare Assignments Practice Location: 33300 N 32nd Ave Ste 201, Phoenix, AZ 85085 Phone: 602-264-0608 | |
Dr. Christopher James Joseph Martin, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 5133 N Central Ave Ste 206, Phoenix, AZ 85012 Phone: 602-264-0608 Fax: 602-234-0417 | |
Dr. Robert G Ferrigni, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 5779 E Mayo Blvd, Phoenix, AZ 85054 Phone: 480-301-8000 | |
Dr. Mitchell R Humphreys, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 5779 E Mayo Blvd, Phoenix, AZ 85054 Phone: 480-301-8000 |