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 | 33 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 |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Summit Healthcare Medical Associates | 8729205737 | 76 |
Entity Name | Summit Healthcare Medical Associates |
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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 |
William J Waldo, MD Surgery Medicare: Medicare Enrolled 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 | |
Doran James Schneider, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 5171 Cub Lake Rd, Suite 390, Show Low, AZ 85901 Phone: 928-532-5463 Fax: 928-532-8474 |