Marvin Cabilangan Depas, FNP | |
625 N. 13th West, North Country Healthcare, St Johns, Saint Johns, AZ 85936 | |
(928) 337-3705 | |
(928) 337-3780 |
Full Name | Marvin Cabilangan Depas |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 17 Years |
Location | 625 N. 13th West, Saint Johns, 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 |
---|---|---|---|
1306163258 | NPI | - | NPPES |
516484 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | AP3566 (Arizona) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Banner Payson Medical Center | Payson, AZ | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Tucson Physician Group Holdings Llc | 0547560070 | 102 |
North Country Healthcare Inc | 8820981053 | 62 |
Entity Name | North Country Healthcare Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073583472 PECOS PAC ID: 8820981053 Enrollment ID: O20040210001107 |
Entity Name | Tri-city Express Care Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962580118 PECOS PAC ID: 2264436377 Enrollment ID: O20060901000335 |
Entity Name | Tucson Physician Group Holdings Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356726939 PECOS PAC ID: 0547560070 Enrollment ID: O20151204001261 |
Entity Name | Community Care Health Network Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619368842 PECOS PAC ID: 8527324151 Enrollment ID: O20180201002117 |
Mailing Address | Practice Location Address |
---|---|
Marvin Cabilangan Depas, FNP Po Box 3630, Flagstaff, AZ 86003-3630 Ph: (928) 233-5110 | Marvin Cabilangan Depas, FNP 625 N. 13th West, North Country Healthcare, St Johns, Saint Johns, AZ 85936 Ph: (928) 337-3705 |
Ashley Kelepolo, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 625 N 13th W, Saint Johns, AZ 85936 Phone: 928-337-3000 |