| Dr Bryce L Dursteler, MD | |
|
1255 W Washington St, Tempe, AZ 85281-1210 | |
| (602) 685-5211 | |
| (602) 685-5325 |
| Full Name | Dr Bryce L Dursteler |
|---|---|
| Gender | Male |
| Speciality | Pathology |
| Experience | 23 Years |
| Location | 1255 W Washington St, Tempe, 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 |
|---|---|---|---|
| 1942410410 | NPI | - | NPPES |
| 57175 | Other | AZ | ARIZONA MEDICAL LICENSE |
| 346505 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZC0500X | Pathology - Cytopathology | 57175 (Arizona) | Secondary |
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 57175 (Arizona) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Banner Gateway Medical Center | Gilbert, AZ | Hospital |
| Banner Desert Medical Center | Mesa, AZ | Hospital |
| Banner Estrella Medical Center | Phoenix, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pathology Specialist Of Arizona, Llp | 4789583188 | 64 |
| Entity Name | Pathology Specialist Of Arizona, Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174503999 PECOS PAC ID: 4789583188 Enrollment ID: O20040105000801 |
| Entity Name | Clin-path Pathology |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922079706 PECOS PAC ID: 5193717866 Enrollment ID: O20040401000920 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Bryce L Dursteler, MD Po Box 42210, Phoenix, AZ 85080-2210 Ph: (623) 266-7770 | Dr Bryce L Dursteler, MD 1255 W Washington St, Tempe, AZ 85281-1210 Ph: (602) 685-5211 |
Robert A Ramsey, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 1255 W Washington St, Tempe, AZ 85281 Phone: 602-685-5211 Fax: 623-889-7407 | |
Dr. Joseph M Foley, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 1255 W Washington St, Tempe, AZ 85281 Phone: 602-685-5166 Fax: 602-685-5325 | |
Leslie D Krahl, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 1255 W Washington St, Tempe, AZ 85281 Phone: 623-889-7403 Fax: 623-889-7407 | |
Dr. Rashad A. Aboul-nasr, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 1255 W Washington St, Tempe, AZ 85281 Phone: 602-685-5211 Fax: 602-685-5325 | |
Dr. Cristina Maria Ramirez, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 1255 W Washington St, Tempe, AZ 85281 Phone: 602-685-5211 Fax: 623-889-7407 | |
Dr. Mary Jean Fietz, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 1255 W Washington St, Tempe, AZ 85281 Phone: 602-685-5211 Fax: 602-685-5028 | |
Stephen A Ovanessoff, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 1255 W Washington St, Tempe, AZ 85281 Phone: 602-685-5211 Fax: 623-889-7407 |