| Gregory Daniel Novak, MD | |
|
269 S Candy Ln, Cottonwood, AZ 86326-4158 | |
| (928) 639-6180 | |
| (928) 639-6698 |
| Full Name | Gregory Daniel Novak |
|---|---|
| Gender | Male |
| Speciality | Pathology |
| Experience | 24 Years |
| Location | 269 S Candy Ln, Cottonwood, 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 |
|---|---|---|---|
| 1275511156 | NPI | - | NPPES |
| Z154190 | Other | AZ | MEDICARE PTAN |
| 036655200 | Medicaid | MN | |
| 438736 | Medicaid | AZ |
| Facility Name | Location | Facility Type |
|---|---|---|
| Banner - University Medical Center Tucson Campus | Tucson, AZ | Hospital |
| Banner-university Medical Center South Campus | Tucson, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Banner-university Medical Group | 7719899871 | 950 |
| Entity Name | Banner-university Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508809427 PECOS PAC ID: 7719899871 Enrollment ID: O20031105000694 |
| Mailing Address | Practice Location Address |
|---|---|
| Gregory Daniel Novak, MD 1200 N Beaver St, Payer Credentialing, Flagstaff, AZ 86001-3118 Ph: (928) 773-2559 | Gregory Daniel Novak, MD 269 S Candy Ln, Cottonwood, AZ 86326-4158 Ph: (928) 639-6180 |
Brynna Scout Fullerton Vergara, Pathology Medicare: Not Enrolled in Medicare Practice Location: 101 S Airpark Rd, Cottonwood, AZ 86326 Phone: 928-639-2694 | |
Anna Pacelli, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 269 S Candy Ln, Cottonwood, AZ 86326 Phone: 928-639-6180 Fax: 928-639-6698 | |
Dr. Mark E Miller, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 269 S Candy Ln, Cottonwood, AZ 86326 Phone: 928-639-6180 Fax: 928-639-6698 |