| Ms Lora A Mangiafico, PA-C | |
|
2940 E Banner Gateway Dr, Suite 200, Gilbert, AZ 85234-2168 | |
| (480) 964-2908 | |
| (480) 833-2136 |
| Full Name | Ms Lora A Mangiafico |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 2940 E Banner Gateway Dr, Gilbert, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043462526 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | AP2630 (Massachusetts) | Secondary |
| 363A00000X | Physician Assistant | 6062 (Arizona) | Primary |
| Entity Name | Az Endocrine Institute, PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578583951 PECOS PAC ID: 3173507936 Enrollment ID: O20040617001005 |
| Entity Name | Michael F Esber DPM PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902907504 PECOS PAC ID: 7810905759 Enrollment ID: O20060404000112 |
| Entity Name | Progressive Pain Management Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881866754 PECOS PAC ID: 1153490727 Enrollment ID: O20080522000123 |
| Entity Name | Advanced Minimally Invasive Surgical |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295056919 PECOS PAC ID: 4183758527 Enrollment ID: O20100819001272 |
| Entity Name | Maria Gonzalez Berlari MD LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699025981 PECOS PAC ID: 2769625854 Enrollment ID: O20130820001092 |
| Entity Name | Hope Diabetes Center LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104865757 PECOS PAC ID: 4183620487 Enrollment ID: O20170719003937 |
| Entity Name | New Hope Behavioral Health Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992387112 PECOS PAC ID: 3678906104 Enrollment ID: O20210715000827 |
| Entity Name | I Am Wellness Az LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184354532 PECOS PAC ID: 8123497344 Enrollment ID: O20221211000016 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Lora A Mangiafico, PA-C Po Box 271429, Salt Lake City, UT 84127-1429 Ph: (602) 772-3800 | Ms Lora A Mangiafico, PA-C 2940 E Banner Gateway Dr, Suite 200, Gilbert, AZ 85234-2168 Ph: (480) 964-2908 |
Samuel Dean Fox, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4915 E Baseline Rd Ste 102, Gilbert, AZ 85234 Phone: 480-646-8660 Fax: 480-646-8665 |
Ethan Everlith, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2940 E Banner Gateway Dr Ste 200, Gilbert, AZ 85234 Phone: 480-964-2908 |
Clara Michelle Goodman, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3530 S Val Vista Dr Ste C101, Gilbert, AZ 85297 Phone: 602-491-0703 Fax: 833-661-1781 |
Saira Punjwani Hemani, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4100 S Lindsay Rd Ste 129, Gilbert, AZ 85297 Phone: 718-216-7002 |
Amanda E Shelley, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2196 E Williams Field Rd, #116, Gilbert, AZ 85295 Phone: 480-237-1395 Fax: 602-218-4076 |
Clay Daniel Shorter, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2940 E Banner Gateway Dr Ste 200-250, Gilbert, AZ 85234 Phone: 602-648-5444 Fax: 602-772-3801 |
Carolyn Renee Wagner Von Hoff, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3591 S Mercy Rd Ste 204, Gilbert, AZ 85297 Phone: 866-974-2673 Fax: 866-939-2673 |