| Michael J Labenz, MD | |
|
77 W. Forest Avenue, Suite 101, Flagstaff, AZ 86001-1482 | |
| (928) 773-2215 | |
| (928) 773-2240 |
| Full Name | Michael J Labenz |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 30 Years |
| Location | 77 W. Forest Avenue, Flagstaff, 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 |
|---|---|---|---|
| 1386699643 | NPI | - | NPPES |
| 621442 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 28423 (Arizona) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Flagstaff Medical Center | Flagstaff, AZ | Hospital |
| Verde Valley Medical Center | Cottonwood, AZ | Hospital |
| Little Colorado Medical Center | Winslow, AZ | Hospital |
| Tuba City Regional Health Care Corporation | Tuba city, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northern Arizona Radiology P C | 4880683085 | 11 |
| Entity Name | Northern Arizona Radiology P C |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275588659 PECOS PAC ID: 4880683085 Enrollment ID: O20040512000043 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael J Labenz, MD Dept 2018, Po Box 29675, Phoenix, AZ 85038-9675 Ph: () - | Michael J Labenz, MD 77 W. Forest Avenue, Suite 101, Flagstaff, AZ 86001-1482 Ph: (928) 773-2215 |
Paul Hiette, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 77 W. Forest Avenue, Suite 101, Flagstaff, AZ 86001 Phone: 928-773-2515 Fax: 928-773-2240 | |
Dr. Andrew David, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1329 N Beaver St Ste 1, Flagstaff, AZ 86001 Phone: 928-773-2260 Fax: 928-773-2402 | |
Leslie N. Nishimi, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 77 W. Forest Avenue, Suite 101, Flagstaff, AZ 86001 Phone: 928-773-2515 Fax: 928-773-2240 | |
Stephanie Renee Rice, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1329 N Beaver St, Flagstaff, AZ 86001 Phone: 928-773-2261 | |
James Christen Larsen Iii, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 77 W Forest Ave Ste 101, Flagstaff, AZ 86001 Phone: 928-773-2515 | |
Stephen V. Ward, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 77 W Forest Avenue, Suite 101, Flagstaff, AZ 86001 Phone: 928-773-2515 Fax: 928-773-2240 |