| Douglas Mark Weber, MD | |
|
37100 N Gantzel Rd, Suite 106, San Tan Valley, AZ 85140-7349 | |
| (480) 814-1910 | |
| (480) 857-2667 |
| Full Name | Douglas Mark Weber |
|---|---|
| Gender | Male |
| Speciality | Obstetrics/gynecology |
| Experience | 17 Years |
| Location | 37100 N Gantzel Rd, San Tan Valley, 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 |
|---|---|---|---|
| 1992933550 | NPI | - | NPPES |
| 148478 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 125056620 (Illinois) | Secondary |
| 207V00000X | Obstetrics & Gynecology | 52070 (Arizona) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Momdoc Llc | 3375534282 | 63 |
| Entity Name | Momdoc Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184780355 PECOS PAC ID: 3375534282 Enrollment ID: O20040520000050 |
| Mailing Address | Practice Location Address |
|---|---|
| Douglas Mark Weber, MD 2545 W Frye Rd, Ste 5, Chandler, AZ 85224-6273 Ph: (480) 814-1910 | Douglas Mark Weber, MD 37100 N Gantzel Rd, Suite 106, San Tan Valley, AZ 85140-7349 Ph: (480) 814-1910 |
Vidalia M Butler-poku, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 270 E Hunt Hwy, 10, San Tan Valley, AZ 85143 Phone: 480-987-5500 Fax: 480-987-5507 | |
Lourdes E Melendez-oetinger, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 270 E Hunt Hwy Ste 10, San Tan Valley, AZ 85143 Phone: 480-987-5500 Fax: 480-987-5017 | |
Jennifer Leigh Shaw, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 37100 N Gantzel Rd Ste 106, San Tan Valley, AZ 85140 Phone: 480-821-3600 Fax: 480-857-2667 | |
Natasha E. Laird, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 37100 N Gantzel Rd, Ste 106, San Tan Valley, AZ 85140 Phone: 480-821-3616 Fax: 480-857-2667 |