| Dr Robert Mawunyo Koffie, MD | |
|
1757 E Baseline Rd Ste 131, Gilbert, AZ 85233-1534 | |
| (480) 999-5248 | |
| (480) 999-5285 |
| Full Name | Dr Robert Mawunyo Koffie |
|---|---|
| Gender | Male |
| Speciality | Neurosurgery |
| Experience | 12 Years |
| Location | 1757 E Baseline Rd Ste 131, Gilbert, 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 |
|---|---|---|---|
| 1760744460 | NPI | - | NPPES |
| 100089494 | Medicaid | WI | |
| 005313 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207T00000X | Neurological Surgery | 71969-20 (Wisconsin) | Secondary |
| 207T00000X | Neurological Surgery | 59734 (Arizona) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Banner Desert Medical Center | Mesa, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Spine Capital Llc | 6608240411 | 2 |
| 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 |
| Entity Name | Spine Capital Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295447779 PECOS PAC ID: 6608240411 Enrollment ID: O20230317001960 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Robert Mawunyo Koffie, MD 350 W Thomas Rd, Phoenix, AZ 85013-4409 Ph: () - | Dr Robert Mawunyo Koffie, MD 1757 E Baseline Rd Ste 131, Gilbert, AZ 85233-1534 Ph: (480) 999-5248 |
David Aaron Wilson, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 3420 S Mercy Rd Ste 221, Gilbert, AZ 85297 Phone: 480-681-7374 Fax: 602-294-8297 | |
Andrew K Metzger, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 3420 S Mercy Rd Ste 221, Gilbert, AZ 85297 Phone: 480-681-7374 Fax: 480-883-0514 | |
Joseph D Didomenico, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 3420 S Mercy Rd Ste 221, Gilbert, AZ 85297 Phone: 480-681-7344 Fax: 602-294-8297 |