| Dr Brian J Delisio, MD | |
|
4838 E Baseline Rd Ste 108, Mesa, AZ 85206 | |
| (480) 981-2400 | |
| Not Available |
| Full Name | Dr Brian J Delisio |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 24 Years |
| Location | 4838 E Baseline Rd Ste 108, Mesa, 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 |
|---|---|---|---|
| 1437186335 | NPI | - | NPPES |
| 945131 | Medicaid | AZ | |
| P00402237 | Other | AZ | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207LA0401X | Anesthesiology - Addiction Medicine | 33634 (Arizona) | Secondary |
| 207L00000X | Anesthesiology | 33634 (Arizona) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Banner Gateway Medical Center | Gilbert, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Banner Hospital Based Physicians Arizona Llc | 3274782487 | 524 |
| Entity Name | Gateway Anesthesia And Pain Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710026125 PECOS PAC ID: 0042314668 Enrollment ID: O20070409000257 |
| Entity Name | Banner Hospital Based Physicians Arizona Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275889891 PECOS PAC ID: 3274782487 Enrollment ID: O20121003000752 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Brian J Delisio, MD 4838 E Baseline Rd Ste 108, Mesa, AZ 85206-4672 Ph: (480) 981-2400 | Dr Brian J Delisio, MD 4838 E Baseline Rd Ste 108, Mesa, AZ 85206 Ph: (480) 981-2400 |
Dr. John G Meernik, M D Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 6247 E. Main Street, Suite 8, Mesa, AZ 85205 Phone: 480-981-9151 Fax: 480-981-0527 | |
Mark Murphy, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1400 S Dobson Rd, Mesa, AZ 85202 Phone: 480-835-3000 | |
Dr. Mikulkumar D Shah, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 6644 E Baywood Ave, Mesa, AZ 85206 Phone: 480-321-2000 | |
Timothy E Black, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1500 S Dobson Road, Suite 203, Mesa, AZ 85202 Phone: 480-844-7100 Fax: 480-512-5486 | |
Joseph M Levine, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1500 S Dobson Rd, Ste 203, Mesa, AZ 85202 Phone: 480-844-7100 Fax: 480-512-5486 | |
Robert Thomas, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1400 S Dobson Rd, Mesa, AZ 85202 Phone: 480-272-8411 Fax: 480-361-1435 | |
William Park, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 1400 S Dobson Rd, Mesa, AZ 85202 Phone: 480-412-7720 |