Talles Barroso Pinto De Campos Sidronio, MD | |
16260 S Rancho Sahuarita Blvd, Sahuarita, AZ 85629-0047 | |
(520) 416-7100 | |
Not Available |
Full Name | Talles Barroso Pinto De Campos Sidronio |
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Gender | Male |
Speciality | Anesthesiology |
Location | 16260 S Rancho Sahuarita Blvd, Sahuarita, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013477496 | NPI | - | NPPES |
118378600 | Medicaid | FL | |
2263246 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | ME162385 (Florida) | Secondary |
207L00000X | Anesthesiology | MD61471194 (Washington) | Secondary |
207L00000X | Anesthesiology | 75151 (Arizona) | Primary |
Entity Name | Northstar Anesthesia Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912978610 PECOS PAC ID: 7315907128 Enrollment ID: O20041015000685 |
Entity Name | Northstar Anesthesia Iii Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356968952 PECOS PAC ID: 0042630501 Enrollment ID: O20201022000080 |
Mailing Address | Practice Location Address |
---|---|
Talles Barroso Pinto De Campos Sidronio, MD 515 Ne Boulevard, Gainesville, FL 32601-5465 Ph: (248) 798-0480 | Talles Barroso Pinto De Campos Sidronio, MD 16260 S Rancho Sahuarita Blvd, Sahuarita, AZ 85629-0047 Ph: (520) 416-7100 |
Dr. Lewis M. Satloff, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 16260 S Rancho Sahuarita Blvd, Sahuarita, AZ 85629 Phone: 520-416-7100 | |
Steven Freeland, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 16260 S Rancho Sahuarita Blvd, Sahuarita, AZ 85629 Phone: 520-416-7100 |