| Theresa T Magne, MD | |
|
14155 N 83rd Ave, Suite @110, Peoria, AZ 85381-5639 | |
| (623) 215-0911 | |
| (623) 215-0912 |
| Full Name | Theresa T Magne |
|---|---|
| Gender | Female |
| Speciality | Dermatology |
| Location | 14155 N 83rd Ave, Peoria, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417974403 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | 23281 (Arizona) | Primary |
| 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 |
|---|---|
| Theresa T Magne, MD 14155 N 83rd Ave, Suite #110, Peoria, AZ 85381-5639 Ph: (623) 215-0911 | Theresa T Magne, MD 14155 N 83rd Ave, Suite @110, Peoria, AZ 85381-5639 Ph: (623) 215-0911 |
Lori-ann R Wilcox, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 13943 N 91st Ave, C-101, Peoria, AZ 85381 Phone: 623-760-9449 Fax: 623-974-9351 | |
Deborah Zell, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 13943 N 91st Ave, #c-1, Peoria, AZ 85381 Phone: 623-972-3992 Fax: 623-583-4074 | |
Mary F Fredenberg, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 14155 N 83rd Ave, Suite #110, Peoria, AZ 85381 Phone: 623-215-0911 Fax: 623-215-0912 | |
Dr. Julie Jacobs, D.O. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 14155 N 83rd Ave Ste 110, Peoria, AZ 85381 Phone: 623-888-8145 | |
Dr. Troy C Ellis, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 13943 N 91st Ave, #c-101, Peoria, AZ 85381 Phone: 623-760-9449 Fax: 623-974-9351 | |
Caroline Carr, M.D. Dermatology Medicare: May Accept Medicare Assignments Practice Location: 20542 N Lake Pleasant Rd Ste 105, Peoria, AZ 85382 Phone: 775-790-3667 | |
Dr. Rosemary Theresa Depaoli, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 7767 W Deer Valley Rd Ste 140, Peoria, AZ 85382 Phone: 623-487-3003 Fax: 623-889-7137 |