Dr Sean Anthony Maiolo, MD | |
3124 Willow Creek Rd, Prescott, AZ 86301-6610 | |
(928) 445-7085 | |
(928) 433-0730 |
Full Name | Dr Sean Anthony Maiolo |
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Gender | Male |
Speciality | Family Medicine |
Location | 3124 Willow Creek Rd, Prescott, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487147682 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 65938 (Arizona) | Primary |
Entity Name | Benson Hospital Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336118322 PECOS PAC ID: 3274443056 Enrollment ID: O20040109000537 |
Entity Name | Prescott Medical Investment Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184408874 PECOS PAC ID: 5092151696 Enrollment ID: O20240305004562 |
Mailing Address | Practice Location Address |
---|---|
Dr Sean Anthony Maiolo, MD 3124 Willow Creek Rd, Prescott, AZ 86301-6610 Ph: (928) 445-7085 | Dr Sean Anthony Maiolo, MD 3124 Willow Creek Rd, Prescott, AZ 86301-6610 Ph: (928) 445-7085 |
Michael James Lacaze, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1050 Gail Gardner Way Ste 300, Prescott, AZ 86305 Phone: 928-717-5232 Fax: 928-717-5238 | |
Dr. Robert Jeffrey Zieve, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 343 S Montezuma St, Prescott, AZ 86303 Phone: 928-445-2900 Fax: 928-445-2053 | |
Dr. Tiffany A Lunt, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1050 Gail Gardner Way Ste 100, Prescott, AZ 86305 Phone: 928-777-0700 Fax: 928-778-5507 | |
Dr. William F De Vito, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2078 Willow Creek Rd, Prescott, AZ 86301 Phone: 928-776-6400 Fax: 855-633-3142 | |
Dr. Colin P Kerr, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1090 Commerce Dr, Prescott, AZ 86305 Phone: 928-583-1000 Fax: 866-323-8458 | |
Dr. Kevin S Doyle, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3107 Clearwater Dr, Prescott, AZ 86305 Phone: 928-445-2522 Fax: 928-445-1910 | |
Dr. Irene Anna Royko, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1654 Coyote Rd, Prescott, AZ 86303 Phone: 928-778-4767 Fax: 928-778-4767 |