| Mark Clinton Luba, MD | |
|
18555 N 79th Ave Ste B108, Glendale, AZ 85308-8372 | |
| (888) 705-8558 | |
| (480) 776-0025 |
| Full Name | Mark Clinton Luba |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 18555 N 79th Ave Ste B108, Glendale, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437139813 | NPI | - | NPPES |
| 539869 | Medicaid | AZ | |
| Z276049 | Other | AZ | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 26967 (Arizona) | Primary |
| Entity Name | Healthy Outlook Family Medicine Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023161825 PECOS PAC ID: 2466344023 Enrollment ID: O20040327000316 |
| Entity Name | Archwell Health Professional Services Of Arizona, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558026880 PECOS PAC ID: 9830566199 Enrollment ID: O20221031001469 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Clinton Luba, MD 102 Woodmont Blvd Ste 600, Nashville, TN 37205-5250 Ph: () - | Mark Clinton Luba, MD 18555 N 79th Ave Ste B108, Glendale, AZ 85308-8372 Ph: (888) 705-8558 |
Jeremy Nebeker, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 18275 N 59th Avenue, Bldg K 162, Glendale, AZ 85308 Phone: 602-547-8184 Fax: 602-547-8339 | |
Ashwin Parekh, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5555 W. Thunderbird, Banner Thunderbird Medical Center, Glendale, AZ 85306 Phone: 602-865-2627 Fax: 602-865-2632 | |
John Mark Heyer, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 10150 N 67th Ave, Suite 101, Glendale, AZ 85302 Phone: 623-561-4547 Fax: 632-412-4995 | |
Ron Rosenwald, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 6120 W Bell Rd Ste 110, Glendale, AZ 85308 Phone: 602-978-9053 Fax: 602-443-4570 | |
Mr. Arthur N Miller, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 5757 W Thunderbird Road, Suite E-155, Glendale, AZ 85306 Phone: 623-247-1081 Fax: 623-247-2962 | |
Danielle L. Barnett-trapp, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 19389 N 59th Ave, Glendale, AZ 85308 Phone: 236-537-6000 Fax: 623-537-6101 | |
Jenna Sangkam, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 19389 N 59th Ave, Glendale, AZ 85308 Phone: 623-537-6000 |