| Maristela Y Nabong-nillas, MD | |
|
1705 W Main St, Mesa, AZ 85201-6920 | |
| (623) 583-3001 | |
| Not Available |
| Full Name | Maristela Y Nabong-nillas |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 1705 W Main St, Mesa, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629155338 | NPI | - | NPPES |
| 6961002 | Medicaid | NJ | |
| 082796 | Medicaid | AZ | |
| 307457 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 30745 (South Carolina) | Primary |
| Entity Name | Adelante Healthcare Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083772545 PECOS PAC ID: 4688588643 Enrollment ID: O20031114000335 |
| Mailing Address | Practice Location Address |
|---|---|
| Maristela Y Nabong-nillas, MD 3033 N Central Ave Ste 145, Phoenix, AZ 85012-2808 Ph: (623) 583-3001 | Maristela Y Nabong-nillas, MD 1705 W Main St, Mesa, AZ 85201-6920 Ph: (623) 583-3001 |
Madhuri Kashyap, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1400 S Dobson Rd, Mesa, AZ 85202 Phone: 480-412-3000 | |
Jyoti S. Lebonheur, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1840 S. Stapley Drive, Suite 101, Mesa, AZ 85204 Phone: 480-464-8500 | |
Dr. Eric Gabriel Gonzalez, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 616 E Southern Ave, #103, Mesa, AZ 85204 Phone: 602-569-3999 Fax: 602-569-3887 | |
Pacita Tee Opulencia, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 59 S Hibbert, Mesa, AZ 85210 Phone: 480-344-6226 Fax: 602-344-6201 | |
Dr. Daniel E Miga, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1432 S Dobson Rd Ste 512, Mesa, AZ 85202 Phone: 480-412-6336 Fax: 480-412-8013 | |
Naresh Reddy, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1400 S Dobson Rd, Mesa, AZ 85202 Phone: 480-412-4100 Fax: 480-412-5154 | |
Dale W Guthrie, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4540 E Baseline Rd, Suite 108, Mesa, AZ 85206 Phone: 480-892-3880 Fax: 480-545-4551 |