| Lacy Manuelito, MD | |
|
483 W Seed Farm Rd, Sacaton, AZ 85147-5000 | |
| (602) 528-1200 | |
| (602) 528-1255 |
| Full Name | Lacy Manuelito |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 483 W Seed Farm Rd, Sacaton, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750844155 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 65759 (Arizona) | Primary |
| Entity Name | Ton Sells Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487652426 PECOS PAC ID: 5092768663 Enrollment ID: O20050301000125 |
| Entity Name | Ton San Xavier Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437157302 PECOS PAC ID: 6608819339 Enrollment ID: O20050603000721 |
| Entity Name | Ton Santa Rosa Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770581639 PECOS PAC ID: 0749223485 Enrollment ID: O20050603000761 |
| Entity Name | Ton San Simon Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588834998 PECOS PAC ID: 8123194354 Enrollment ID: O20081111000398 |
| Mailing Address | Practice Location Address |
|---|---|
| Lacy Manuelito, MD Po Box 38, Sacaton, AZ 85147-0001 Ph: (602) 528-1200 | Lacy Manuelito, MD 483 W Seed Farm Rd, Sacaton, AZ 85147-5000 Ph: (602) 528-1200 |
Florence M Sandmann, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 483 W Seed Farm Rd, Sacaton, AZ 85147 Phone: 602-528-1200 Fax: 602-528-1225 | |
Dr. Gregory D Gessay, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 483 W. Seed Farm Rd., Sacaton, AZ 85147 Phone: 602-528-1200 Fax: 602-528-1255 | |
Orlantha Whitehair, Pediatrics Medicare: Medicare Enrolled Practice Location: 483 W. Seed Farm Rd, Sacaton, AZ 85147 Phone: 602-528-1200 Fax: 602-528-1255 | |
Dr. Stuart E Adair, M.D Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 483 W. Seed Farm Rd., Sacaton, AZ 85247 Phone: 602-528-1340 Fax: 602-528-1296 | |
Navaz Dolasa, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 483 W Seed Farm Rd, Sacaton, AZ 85147 Phone: 602-528-1200 Fax: 602-528-1225 | |
David Gross, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 483 W Seed Farm Rd, Sacaton, AZ 85147 Phone: 602-528-1200 Fax: 602-528-1255 |