| Dr Spencer Raye Paulson, MD | |
|
1501 N Campbell Ave, Tucson, AZ 85724-5108 | |
| (520) 626-2521 | |
| Not Available |
| Full Name | Dr Spencer Raye Paulson |
|---|---|
| Gender | Male |
| Speciality | Pathology |
| Experience | 13 Years |
| Location | 1501 N Campbell Ave, Tucson, 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 |
|---|---|---|---|
| 1215290275 | NPI | - | NPPES |
| R73285 | Other | AZ | ARIZONA TRAINING LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | R73285 (Arizona) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Saint Alphonsus Medical Center - Nampa | Nampa, ID | Hospital |
| West Valley Medical Center | Caldwell, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Diagnostic Pathology Services Inc | 2567406689 | 5 |
| Digestive Health Clinic Llc | 7315948874 | 24 |
| Entity Name | Diagnostic Pathology Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720014087 PECOS PAC ID: 2567406689 Enrollment ID: O20050620000122 |
| Entity Name | Digestive Health Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750498333 PECOS PAC ID: 7315948874 Enrollment ID: O20070125000398 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Spencer Raye Paulson, MD 1501 N Campbell Ave, P.o. Box 245108, Tucson, AZ 85724-5108 Ph: (520) 626-2521 | Dr Spencer Raye Paulson, MD 1501 N Campbell Ave, Tucson, AZ 85724-5108 Ph: (520) 626-2521 |
Dr. Osama Mohamed Anwar Abdelatif, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 350 N Wilmot Rd, Tucson, AZ 85711 Phone: 602-685-5211 Fax: 602-685-5325 | |
Naomi E Rance, MD, PHD Pathology Medicare: Not Enrolled in Medicare Practice Location: 1501 N Campbell Ave, Tucson, AZ 85724 Phone: 520-874-7400 Fax: 520-874-3425 | |
Fangru Lian, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 1501 N Campbell Ave, Tucson, AZ 85724 Phone: 520-626-6241 Fax: 520-626-1027 | |
Jacob Moss Shaner, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: Po Box 245043, Tucson, AZ 85724 Phone: 520-626-5669 | |
Dr. Enoch Kang, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 1625 N Campbell Ave, Tucson, AZ 85719 Phone: 520-694-0111 | |
Matt A Baptista, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 6200 N La Cholla Blvd, Tucson, AZ 85741 Phone: 520-297-7826 Fax: 520-544-0060 | |
Arunbalaji Pugazhendhi, MBBS Pathology Medicare: Not Enrolled in Medicare Practice Location: 1501 N Campbell Ave, Tucson, AZ 85724 Phone: 520-626-6830 Fax: 520-626-2521 |