| Dr Modesto Jose Colon, MD | |
|
3131 E Clarendon Ave, Suite 102, Phoenix, AZ 85016-7069 | |
| (602) 253-9168 | |
| (602) 251-3126 |
| Full Name | Dr Modesto Jose Colon |
|---|---|
| Gender | Male |
| Speciality | Cardiac Surgery |
| Experience | 19 Years |
| Location | 3131 E Clarendon Ave, Phoenix, 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 |
|---|---|---|---|
| 1083873574 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 52510 (Arizona) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Banner - University Medical Center Phoenix | Phoenix, AZ | Hospital |
| Flagstaff Medical Center | Flagstaff, AZ | Hospital |
| Banner Estrella Medical Center | Phoenix, AZ | Hospital |
| Verde Valley Medical Center | Cottonwood, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Phoenix Cardiac Surgery Pc | 8426943036 | 9 |
| Entity Name | Phoenix Cardiac Surgery Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184653958 PECOS PAC ID: 8426943036 Enrollment ID: O20040220000726 |
| Entity Name | District Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336472448 PECOS PAC ID: 7315086691 Enrollment ID: O20091125000583 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Modesto Jose Colon, MD 3131 E Clarendon Ave, Suite 102, Phoenix, AZ 85016-7069 Ph: (602) 253-9168 | Dr Modesto Jose Colon, MD 3131 E Clarendon Ave, Suite 102, Phoenix, AZ 85016-7069 Ph: (602) 253-9168 |
Michael Anthony Smith, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 500 W Thomas Rd Ste 500, Phoenix, AZ 85013 Phone: 602-406-4000 Fax: 602-406-6498 | |
Jeffrey T. Sugimoto, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Not Enrolled in Medicare Practice Location: 350 W Thomas Rd, Phoenix, AZ 85013 Phone: 602-406-3874 Fax: 602-212-4768 | |
Jeremy Torstveit, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Not Enrolled in Medicare Practice Location: 1010 E Mcdowell Rd Ste 300, Phoenix, AZ 85006 Phone: 602-900-6509 | |
Dr. Dawn E Jaroszewski, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 5779 E Mayo Blvd, Phoenix, AZ 85054 Phone: 480-301-8000 | |
Jenna Navarro, PA Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 3131 E Clarendon Ave Ste 102, Phoenix, AZ 85016 Phone: 602-253-9168 | |
Dr. Kevin M Brady, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 500 W Thomas Rd Ste 500, Phoenix, AZ 85013 Phone: 602-406-4000 |