| Dr Douglas John Carlon, MD | |
|
1895 N Jasper Dr Ste 1, Flagstaff, AZ 86001-1632 | |
| (928) 773-2332 | |
| (623) 524-8959 |
| Full Name | Dr Douglas John Carlon |
|---|---|
| Gender | Male |
| Speciality | Vascular Surgery |
| Experience | 29 Years |
| Location | 1895 N Jasper Dr Ste 1, Flagstaff, 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 |
|---|---|---|---|
| 1396704680 | NPI | - | NPPES |
| 694704 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2086S0129X | Surgery - Vascular Surgery | 29314 (Arizona) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Flagstaff Medical Center | Flagstaff, AZ | Hospital |
| Verde Valley Medical Center | Cottonwood, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Arizona Advanced Surgery Llc | 0547690166 | 68 |
| Entity Name | Banner Physician Specialists Arizona Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316228802 PECOS PAC ID: 6204002272 Enrollment ID: O20111222000509 |
| Entity Name | Arizona Advanced Surgery Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346880838 PECOS PAC ID: 0547690166 Enrollment ID: O20200423000406 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Douglas John Carlon, MD 2320 N 3rd St, Phoenix, AZ 85004-1303 Ph: (602) 649-2007 | Dr Douglas John Carlon, MD 1895 N Jasper Dr Ste 1, Flagstaff, AZ 86001-1632 Ph: (928) 773-2332 |
Daniel E Wesche, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 77 W Forest Ave, Suite 201, Flagstaff, AZ 86001 Phone: 928-773-2222 Fax: 928-773-2598 | |
Jeffrey Scott Gruner, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1200 N Beaver St, Flagstaff, AZ 86001 Phone: 928-773-2200 | |
Adam Keith Boettcher, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1020 N San Francisco St Ste 200, Flagstaff, AZ 86001 Phone: 928-774-2300 | |
Nicole Renee Sydow, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1215 N Beaver St, Suite 203, Flagstaff, AZ 86001 Phone: 928-773-2150 | |
Kate Preston, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 77 W Forest Ave Ste 201, Flagstaff, AZ 86001 Phone: 928-773-2222 Fax: 928-773-2598 | |
Sarah Mariam Sohail, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 77 W Forest Ave Ste 201, Flagstaff, AZ 86001 Phone: 928-773-2222 Fax: 928-773-2598 | |
John Anthony Stupinski, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 77 W Forest Ave Ste 201, Flagstaff, AZ 86001 Phone: 928-773-2222 Fax: 928-773-2598 |