| Amanda Mancilla, | |
|
20325 N 51st Ave Ste 116, Glendale, AZ 85308-5665 | |
| (602) 933-1010 | |
| (602) 933-5395 |
| Full Name | Amanda Mancilla |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 20325 N 51st Ave Ste 116, Glendale, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417452632 | NPI | - | NPPES |
| 187918 | Medicaid | AZ |
| Entity Name | Phoenix Children's Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922112044 PECOS PAC ID: 0446278584 Enrollment ID: O20051107000704 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Mancilla, 2108 E Thomas Rd Ste 130, Phoenix, AZ 85016-0008 Ph: (602) 933-3124 | Amanda Mancilla, 20325 N 51st Ave Ste 116, Glendale, AZ 85308-5665 Ph: (602) 933-1010 |
Dr. Tich-hao Mach, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6114 N 59th Ave Ste 4, Glendale, AZ 85301 Phone: 623-937-8643 |
Susanna Emilia Nickel, PA Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3575 W Deer Valley Rd, Glendale, AZ 85308 Phone: 480-585-5200 |
Amit Jain, M.D., M.B.A. Pediatrics Medicare: May Accept Medicare Assignments Practice Location: 6206 W Bell Rd, Glendale, AZ 85308 Phone: 480-882-4545 Fax: 602-863-5851 |
Michael I Berman, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 18700 N 64th Dr, Ste 301, Glendale, AZ 85308 Phone: 623-561-5437 Fax: 623-561-9320 |
Ms. Carmen M Rivera, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 7734 N 59th Ave, Glendale, AZ 85301 Phone: 602-569-3999 Fax: 602-569-3887 |
Mr. Jason Daniel Vargas, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5940 W Union Hills Dr, Suite D-100, Glendale, AZ 85308 Phone: 602-978-2500 Fax: 602-938-2198 |
Rebecca Seifert, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5555 W Thunderbird Rd, Glendale, AZ 85306 Phone: 602-865-5555 |