| Dr Med Dan, MD | |
|
2720 S 6th Ave, Tucson, AZ 85713-4701 | |
| (520) 475-5418 | |
| (520) 300-8034 |
| Full Name | Dr Med Dan |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 15 Years |
| Location | 2720 S 6th Ave, Tucson, 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 |
|---|---|---|---|
| 1154618650 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 77620 (Arizona) | Primary |
| 207Q00000X | Family Medicine | 30287 (West Virginia) | Secondary |
| 207Q00000X | Family Medicine | MD165962 (Oregon) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Amedisys Home Health Of West Virginia | Vienna, WV | Home health agency |
| Camden Clark Medical Center | Parkersburg, WV | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Camden-clark Physician Corporation | 5294885661 | 254 |
| Entity Name | Camden-clark Physician Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710125430 PECOS PAC ID: 5294885661 Enrollment ID: O20090604000570 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Med Dan, MD 309 57th St, Vienna, WV 26105-2021 Ph: (207) 766-6404 | Dr Med Dan, MD 2720 S 6th Ave, Tucson, AZ 85713-4701 Ph: (520) 475-5418 |
Dr. Jeffrey T. Mack, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 4001 E Sunrise Dr Ste 161, Tucson, AZ 85718 Phone: 520-408-6955 | |
Melissa Laura Ray, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2155 W Orange Grove Rd, Tucson, AZ 85741 Phone: 520-742-0414 Fax: 520-742-4063 | |
David L Massanari, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3945 E Paradise Falls Drive, Ste 201, Tucson, AZ 85712 Phone: 520-615-6200 Fax: 520-615-6255 | |
Violet P Siwik, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 707 N Alvernon Way Ste 101, Tucson, AZ 85711 Phone: 520-694-8888 Fax: 520-694-1640 | |
Dr. Ivy L Schwartz, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2502 N Dodge Blvd, Suite 100, Tucson, AZ 85716 Phone: 520-618-8747 Fax: 520-882-5676 | |
Rhema Sayers, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1400 N Wilmot Rd, Suite 110, Tucson, AZ 85712 Phone: 520-884-4999 Fax: 520-300-6669 | |
Dr. Shauna Lee Mcisaac, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3550 N First Ave, Suite 300, Tucson, AZ 85719 Phone: 520-887-0715 Fax: 520-887-1315 |