| Dr Max S Mirot, MD | |
|
300 El Camino Real, Sierra Vista, AZ 85635-2812 | |
| (520) 335-1800 | |
| (520) 335-2743 |
| Full Name | Dr Max S Mirot |
|---|---|
| Gender | Male |
| Speciality | Pathology |
| Experience | 37 Years |
| Location | 300 El Camino Real, Sierra Vista, 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 |
|---|---|---|---|
| 1316022411 | NPI | - | NPPES |
| 907844 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 47745 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Canyon Vista Medical Center | Sierra vista, AZ | Hospital |
| Copper Queen Community Hospital | Bisbee, AZ | Hospital |
| Banner - University Medical Center Tucson Campus | Tucson, AZ | Hospital |
| Entity Name | Sierra Vista Pathology Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992142921 PECOS PAC ID: 1850520966 Enrollment ID: O20140213001209 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Max S Mirot, MD Po Box 609, Hereford, AZ 85615-0609 Ph: (520) 335-1800 | Dr Max S Mirot, MD 300 El Camino Real, Sierra Vista, AZ 85635-2812 Ph: (520) 335-1800 |
Dr. Fredrick Michael Cramer, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 155 Calle Portal, Suite 150, Sierra Vista, AZ 85635 Phone: 520-226-5557 | |
Milagros Lopez, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: United Pathology Ltd, 75 Colonia De Salud, Sierra Vista, AZ 85635 Phone: 520-459-1984 |