| Dr Marco Valerio Canulla, MD | |
|
14044 W Camelback Rd Ste 118, Litchfield Park, AZ 85340-9481 | |
| (623) 584-4882 | |
| (623) 584-6732 |
| Full Name | Dr Marco Valerio Canulla |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 35 Years |
| Location | 14044 W Camelback Rd Ste 118, Litchfield Park, 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 |
|---|---|---|---|
| 1194700286 | NPI | - | NPPES |
| 348583 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 38460 (Oklahoma) | Primary |
| 208600000X | Surgery | 24230 (Arizona) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mountainview Hospital | Las vegas, NV | Hospital |
| Mercy Hospital Oklahoma City, Inc | Oklahoma city, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mercy Clinic Oklahoma Communities | 1153468921 | 558 |
| Nv Surgicalist Pllc | 5698166387 | 3 |
| Entity Name | Mercy Clinic Oklahoma Communities |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386874550 PECOS PAC ID: 1153468921 Enrollment ID: O20091027000755 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Marco Valerio Canulla, MD Po Box 21647, Tampa, FL 33622-1647 Ph: (405) 696-0030 | Dr Marco Valerio Canulla, MD 14044 W Camelback Rd Ste 118, Litchfield Park, AZ 85340-9481 Ph: (623) 584-4882 |
Ryan Wesley Jones, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 14044 W Camelback Rd Ste 226, Litchfield Park, AZ 85340 Phone: 623-233-1050 Fax: 623-215-7137 | |
Dr. William John Kennell, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 14257 W Greentree Dr S, Litchfield Park, AZ 85340 Phone: 602-739-5905 Fax: 623-965-7888 |