| Vidalia M Butler-poku, MD | |
|
270 E Hunt Hwy, 10, San Tan Valley, AZ 85143-4962 | |
| (480) 987-5500 | |
| (480) 987-5507 |
| Full Name | Vidalia M Butler-poku |
|---|---|
| Gender | Female |
| Speciality | Obstetrics/gynecology |
| Experience | 33 Years |
| Location | 270 E Hunt Hwy, San Tan Valley, Arizona |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285639286 | NPI | - | NPPES |
| 941494 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 33705 (Arizona) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hera Health Medical Group - Az Pllc | 8729458864 | 5 |
| Entity Name | Women Of Excellence Healthcare Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548575012 PECOS PAC ID: 7113111493 Enrollment ID: O20101101000242 |
| Entity Name | Arizona Women's Health Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871859272 PECOS PAC ID: 9032343652 Enrollment ID: O20131014000873 |
| Entity Name | Hera Health Medical Group - Az Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821728916 PECOS PAC ID: 8729458864 Enrollment ID: O20230105001337 |
| Mailing Address | Practice Location Address |
|---|---|
| Vidalia M Butler-poku, MD 270 E Hunt Hwy, 10, San Tan Valley, AZ 85143-4962 Ph: (480) 987-5500 | Vidalia M Butler-poku, MD 270 E Hunt Hwy, 10, San Tan Valley, AZ 85143-4962 Ph: (480) 987-5500 |
Lourdes E Melendez-oetinger, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 270 E Hunt Hwy Ste 10, San Tan Valley, AZ 85143 Phone: 480-987-5500 Fax: 480-987-5017 | |
Jennifer Leigh Shaw, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 37100 N Gantzel Rd Ste 106, San Tan Valley, AZ 85140 Phone: 480-821-3600 Fax: 480-857-2667 | |
Natasha E. Laird, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 37100 N Gantzel Rd, Ste 106, San Tan Valley, AZ 85140 Phone: 480-821-3616 Fax: 480-857-2667 | |
Douglas Mark Weber, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 37100 N Gantzel Rd, Suite 106, San Tan Valley, AZ 85140 Phone: 480-814-1910 Fax: 480-857-2667 |