| Laurence M Susini, MD | |
|
155 Calle Portal, #100, Sierra Vista, AZ 85635 | |
| (520) 458-6088 | |
| (520) 458-3983 |
| Full Name | Laurence M Susini |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 45 Years |
| Location | 155 Calle Portal, Sierra Vista, 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 |
|---|---|---|---|
| 1588603179 | NPI | - | NPPES |
| 284985 | Medicaid | AZ | |
| AZ0779560 | Other | BCBS AZ | |
| 2Z2281 | Other | HEALTH NET |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 17611 (Arizona) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Canyon Vista Medical Center | Sierra vista, AZ | Hospital |
| Benson Hospital | Benson, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sierra Vista Regional Health Center Medical Group Llc | 3779732854 | 38 |
| Entity Name | Sierra Vista Regional Health Center Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043575483 PECOS PAC ID: 3779732854 Enrollment ID: O20121004000679 |
| Mailing Address | Practice Location Address |
|---|---|
| Laurence M Susini, MD 155 Calle Portal, #100, Sierra Vista, AZ 85635 Ph: (520) 458-6088 | Laurence M Susini, MD 155 Calle Portal, #100, Sierra Vista, AZ 85635 Ph: (520) 458-6088 |
Nathaniel A Ptak, Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 5750 E Highway 90 Ste 200, Sierra Vista, AZ 85635 Phone: 520-263-3761 Fax: 520-263-3779 | |
William Mccormick, DO Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1951 Frontage Rd, Sierra Vista, AZ 85635 Phone: 520-458-0650 Fax: 520-459-7030 | |
Carol L Hulett, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1951 Frontage Rd, Sierra Vista, AZ 85635 Phone: 520-458-0650 Fax: 520-459-7030 |