| Marc A Olivier, MD | |
|
400 W Camino Casa Verde, Green Valley, AZ 85614-3564 | |
| (520) 623-2642 | |
| (520) 623-6162 |
| Full Name | Marc A Olivier |
|---|---|
| Gender | Male |
| Speciality | Nephrology |
| Experience | 24 Years |
| Location | 400 W Camino Casa Verde, Green Valley, 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 |
|---|---|---|---|
| 1427088350 | NPI | - | NPPES |
| 219846 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RN0300X | Internal Medicine - Nephrology | 36920 (Arizona) | Primary |
| 207R00000X | Internal Medicine | A84518 (California) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Northwest Tucson Dialysis (dva) | Tucson, AZ | Dialysis facility |
| Tucson West Dialysis (dva) | Tucson, AZ | Dialysis facility |
| Sells Dialysis (dva) | Sells, AZ | Dialysis facility |
| Northwest Medical Center | Tucson, AZ | Hospital |
| Oro Valley Hospital | Oro valley, AZ | Hospital |
| St. Mary's Hospital | Tucson, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southwest Kidney Institute Plc | 8224930987 | 93 |
| Entity Name | Southwest Kidney Institute Plc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659316008 PECOS PAC ID: 8224930987 Enrollment ID: O20040211001069 |
| Mailing Address | Practice Location Address |
|---|---|
| Marc A Olivier, MD 2149 E Warner Rd, Suite 101, Tempe, AZ 85284-3494 Ph: (480) 610-6100 | Marc A Olivier, MD 400 W Camino Casa Verde, Green Valley, AZ 85614-3564 Ph: (520) 623-2642 |
Howard J Rolins, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 400 W Camino Casa Verde, Green Valley, AZ 85614 Phone: 520-625-1760 Fax: 520-648-1394 | |
Dr. Sivamurthy Kyathari, M.D Nephrology Medicare: Accepting Medicare Assignments Practice Location: 514 E Whitehouse Canyon Rd Ste 110, Green Valley, AZ 85614 Phone: 520-689-7030 Fax: 520-395-9796 | |
Rossa Khalaf, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 121 W Esperanza Blvd # 181, Green Valley, AZ 85614 Phone: 520-689-6992 Fax: 520-230-3310 | |
Dr. Marvin B Padnick, MD Nephrology Medicare: Not Enrolled in Medicare Practice Location: 4475 S I 19 Frontage Rd Ste 255, Green Valley, AZ 85614 Phone: 520-393-4863 | |
Joy L Logan, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 4475 S L-19 Frontage Road, Suite 101, Green Valley, AZ 85614 Phone: 520-585-4590 Fax: 520-398-7540 | |
Dr. Fred P Mendoza, MD Nephrology Medicare: Medicare Enrolled Practice Location: 1055 N. Lacanada Blvd, Suite 121, Green Valley, AZ 85614 Phone: 520-547-7770 Fax: 520-547-7775 | |
Ruben Calvillo, MD Nephrology Medicare: Not Enrolled in Medicare Practice Location: 1141 S La Canada Dr, Green Valley, AZ 85614 Phone: 520-694-3030 Fax: 520-694-3055 |