| Gustavo Miguel Banti, MD | |
|
1281 E Cottonwood Ln, Casa Grande, AZ 85122-2949 | |
| (520) 876-0150 | |
| (520) 421-3474 |
| Full Name | Gustavo Miguel Banti |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Location | 1281 E Cottonwood Ln, Casa Grande, Arizona |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710987904 | NPI | - | NPPES |
| 2136778 | Other | AZ | CIGNA |
| 328075 | Other | AZ | UNIVERSAL HEALTHCARE |
| 036063412 | Medicaid | IL | |
| 4500628 | Other | IL | BCBS |
| 776955 | Medicaid | AZ | |
| P01137572 | Other | AZ | RAILROAD MCR |
| 4016817 | Other | AZ | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 036063412 (Illinois) | Secondary |
| 208800000X | Urology | 47007 (Arizona) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Gustavo Miguel Banti, MD 2234 Colonial Blvd, Attn: Payer Contracting & Relations Dept., Fort Myers, FL 33907-1412 Ph: (239) 931-7342 | Gustavo Miguel Banti, MD 1281 E Cottonwood Ln, Casa Grande, AZ 85122-2949 Ph: (520) 876-0150 |
Mr. Paul Raymond Fieldstone, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 1828 E Florence Blvd, Ste 143, Casa Grande, AZ 85222 Phone: 520-836-2565 Fax: 520-836-2961 | |
Biren M Patel, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1890 E Florence Blvd, Ste 6, Casa Grande, AZ 85122 Phone: 520-421-2565 Fax: 520-421-0921 |