| Dr Robert L Mahanti, MD | |
|
900 N San Francisco St, Flagstaff, AZ 86001-3236 | |
| (928) 779-7000 | |
| Not Available |
| Full Name | Dr Robert L Mahanti |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Experience | 39 Years |
| Location | 900 N San Francisco St, 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 |
|---|---|---|---|
| 1730146499 | NPI | - | NPPES |
| AZ0380480 | Other | AZ | BLUE CROSS BLUE SHIELD |
| 1659445062 | Other | GROUP NPI | |
| 180022943 | Other | MEDICARE RAILROAD | |
| 110510 | Other | APIPA | |
| DG6643 | Other | MEDICARE RAILROAD GROUP | |
| 110510 | Medicaid | AZ | |
| 290066 | Other | MEDICAID GROUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | 20847 (Arizona) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| White Mountain Regional Medical Center | Springerville, AZ | Hospital |
| Flagstaff Medical Center | Flagstaff, AZ | Hospital |
| Fort Defiance Indian Hospital | Fort defiance, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| The Fort Defiance Indian Hospital Board, Incorporation | 0941336697 | 104 |
| Northern Arizona Eye Associates | 5991748212 | 2 |
| Entity Name | The Fort Defiance Indian Hospital Board, Incorporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477876639 PECOS PAC ID: 0941336697 Enrollment ID: O20100429001153 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Robert L Mahanti, MD Po Box 31012, Flagstaff, AZ 86003-1012 Ph: (928) 779-7000 | Dr Robert L Mahanti, MD 900 N San Francisco St, Flagstaff, AZ 86001-3236 Ph: (928) 779-7000 |
Dr. Brendan P Girschek, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 350 N Switzer Canyon Dr, Flagstaff, AZ 86001 Phone: 928-779-0500 Fax: 602-508-4830 | |
David L Mcgarey, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 350 N Switzer Canyon Dr, Flagstaff, AZ 86001 Phone: 602-955-1000 Fax: 602-508-4830 |