| Dr Burke Delange, DO | |
|
5171 Cub Lake Rd, Suite C 350, Show Low, AZ 85901-7888 | |
| (928) 537-8285 | |
| Not Available |
| Full Name | Dr Burke Delange |
|---|---|
| Gender | Male |
| Speciality | Vascular Surgery |
| Experience | 35 Years |
| Location | 5171 Cub Lake Rd, Show Low, 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 |
|---|---|---|---|
| 1801866876 | NPI | - | NPPES |
| 175753601 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2086S0129X | Surgery - Vascular Surgery | J2871 (Texas) | Secondary |
| 2086S0129X | Surgery - Vascular Surgery | 005292 (Arizona) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Summit Healthcare Regional Medical Center | Show low, AZ | Hospital |
| White Mountain Regional Medical Center | Springerville, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Summit Healthcare Medical Associates | 8729205737 | 75 |
| Entity Name | Summit Healthcare Medical Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467878108 PECOS PAC ID: 8729205737 Enrollment ID: O20140815000931 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Burke Delange, DO Po Box 2558, Show Low, AZ 85902-2558 Ph: (928) 537-8285 | Dr Burke Delange, DO 5171 Cub Lake Rd, Suite C 350, Show Low, AZ 85901-7888 Ph: (928) 537-8285 |
Dr. Geoffrey Ian Boyer, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 4951 S White Mountain Rd Bldg A, Show Low, AZ 85901 Phone: 928-537-6700 Fax: 928-532-2138 | |
Dr. Michael John Boyle, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 4951 S White Mountain Rd Bldg A, Show Low, AZ 85901 Phone: 928-537-6700 Fax: 928-532-2138 | |
William J Waldo, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 2650 E Show Low Lake Rd, Suite 2, Show Low, AZ 85901 Phone: 928-537-4240 Fax: 928-537-4541 | |
Michael Edward Tieman, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 5171 Cub Lake Rd, Suite 280, Show Low, AZ 85901 Phone: 928-532-5463 Fax: 928-532-8474 |