| Mr Clark Delona Page, PA | |
|
1501 N Campbell Ave Rm 4402, Tucson, AZ 85724-0001 | |
| (520) 626-6670 | |
| (520) 626-4008 |
| Full Name | Mr Clark Delona Page |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 5 Years |
| Location | 1501 N Campbell Ave Rm 4402, 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 |
|---|---|---|---|
| 1588308258 | NPI | - | NPPES |
| Facility Name | Location | Facility Type |
|---|---|---|
| Froedtert Pleasant Prairie Hospital | Pleasant prairie, WI | Hospital |
| Banner - University Medical Center Tucson Campus | Tucson, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Banner-university Medical Group | 7719899871 | 1066 |
| Froedtert South Inc | 9537071196 | 158 |
| Entity Name | Banner-university Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508809427 PECOS PAC ID: 7719899871 Enrollment ID: O20031105000694 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Clark Delona Page, PA 1501 N Campbell Ave Rm 4402, Tucson, AZ 85724-0001 Ph: (520) 626-6670 | Mr Clark Delona Page, PA 1501 N Campbell Ave Rm 4402, Tucson, AZ 85724-0001 Ph: (520) 626-6670 |
Miss Ashlee Elizabeth Krongaard, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4280 N Oracle Rd Ste 100, Tucson, AZ 85705 Phone: 188-838-1485 |
Ms. Barbara Magno Vucasovich, SA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1621 N Via Encanto, Tucson, AZ 85715 Phone: 214-227-2457 Fax: 214-764-0880 |
Alexandria Taysom, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1625 N Campbell Ave, Tucson, AZ 85719 Phone: 520-694-0111 |
Olivia Katherine Sobojinski, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6130 N La Cholla Blvd Ste 135a, Tucson, AZ 85741 Phone: 520-881-1394 Fax: 520-882-7467 |
Ms. Anne M Elliott, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 7566 N La Cholla Blvd, Suite A, Tucson, AZ 85741 Phone: 520-742-4139 Fax: 520-742-3010 |
Raven Janin Marshall-santillan, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3601 S 6th Ave, Tucson, AZ 85723 Phone: 520-792-1450 |
Mrs. Sara Monroe Royse, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1595 E River Rd Ste 201, Tucson, AZ 85718 Phone: 520-293-5757 Fax: 520-293-7358 |