Gustavo Miguel Banti, MD | |
1281 E Cottonwood Ln, Casa Grande, AZ 85122-2949 | |
(520) 876-0150 | |
(520) 421-3474 |
Full Name | Gustavo Miguel Banti |
---|---|
Gender | Male |
Speciality | Urology |
Location | 1281 E Cottonwood Ln, Casa Grande, Arizona |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710987904 | NPI | - | NPPES |
2136778 | Other | AZ | CIGNA |
328075 | Other | AZ | UNIVERSAL HEALTHCARE |
036063412 | Medicaid | IL | |
4500628 | Other | IL | BCBS |
776955 | Medicaid | AZ | |
P01137572 | Other | AZ | RAILROAD MCR |
4016817 | Other | AZ | AETNA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 036063412 (Illinois) | Secondary |
208800000X | Urology | 47007 (Arizona) | Primary |
Mailing Address | Practice Location Address |
---|---|
Gustavo Miguel Banti, MD 2234 Colonial Blvd, Attn: Payer Contracting & Relations Dept., Fort Myers, FL 33907-1412 Ph: (239) 931-7342 | Gustavo Miguel Banti, MD 1281 E Cottonwood Ln, Casa Grande, AZ 85122-2949 Ph: (520) 876-0150 |
Mr. Paul Raymond Fieldstone, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 1828 E Florence Blvd, Ste 143, Casa Grande, AZ 85222 Phone: 520-836-2565 Fax: 520-836-2961 | |
Biren M Patel, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1890 E Florence Blvd, Ste 6, Casa Grande, AZ 85122 Phone: 520-421-2565 Fax: 520-421-0921 |