| Samuel Devictor, MD | |
|
8994 E Desert Cove Ave, Scottsdale, AZ 85260-7901 | |
| (480) 551-2040 | |
| Not Available |
| Full Name | Samuel Devictor |
|---|---|
| Gender | Male |
| Speciality | Plastic And Reconstructive Surgery |
| Experience | 9 Years |
| Location | 8994 E Desert Cove Ave, Scottsdale, 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 |
|---|---|---|---|
| 1619301884 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207YS0123X | Otolaryngology - Facial Plastic Surgery | 68902 (Arizona) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southwest Skin Specialists Llc | 9739079864 | 51 |
| Entity Name | Southwest Skin Specialists LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174521926 PECOS PAC ID: 9739079864 Enrollment ID: O20040319001063 |
| Mailing Address | Practice Location Address |
|---|---|
| Samuel Devictor, MD 8994 E Desert Cove Ave, Scottsdale, AZ 85260-7901 Ph: (480) 551-2040 | Samuel Devictor, MD 8994 E Desert Cove Ave, Scottsdale, AZ 85260-7901 Ph: (480) 551-2040 |
Lisa D Grunebaum, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 13400 E Shea Blvd, Scottsdale, AZ 85259 Phone: 480-301-8000 |
Pedro Gomes, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 13400 E Shea Blvd, Scottsdale, AZ 85259 Phone: 480-301-8000 |
Jaime Leigh Jordan, FNP-C Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 14040 N Northsight Blvd, Scottsdale, AZ 85260 Phone: 480-534-4525 |
Dr. Paul Kenneth Holden, M.D. Otolaryngology Medicare: Medicare Enrolled Practice Location: 15757 N 78th St, Suite A, Scottsdale, AZ 85260 Phone: 480-787-5815 Fax: 480-787-5814 |
Dr. Kurt Edward Heiland, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 8752 E Via De Commercio Ste 1, Scottsdale, AZ 85258 Phone: 480-684-1080 Fax: 480-684-1080 |
Dr. Jordan Seth Weiner, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 8952 E Desert Cove Ave, Suite 205, Scottsdale, AZ 85260 Phone: 480-273-8688 Fax: 480-273-8689 |
Dr. Amar Miglani, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 13400 E Shea Blvd, Scottsdale, AZ 85259 Phone: 480-301-8000 |