| Dr Gustavo Joaquin Perez, PHD | |
|
535 N Wilmot Rd Ste 201, Tucson, AZ 85711-2629 | |
| (520) 343-1777 | |
| (520) 694-2185 |
| Full Name | Dr Gustavo Joaquin Perez |
|---|---|
| Gender | Male |
| Speciality | Clinical Psychologist |
| Experience | 19 Years |
| Location | 535 N Wilmot Rd Ste 201, 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 |
|---|---|---|---|
| 1104071471 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 3976 (Arizona) | Primary |
| 103TS0200X | Psychologist - School | 3976 (Arizona) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| B-umg Integrated Health Clinic Llc | 3577831494 | 14 |
| 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 |
| Entity Name | B-umg Integrated Health Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043758816 PECOS PAC ID: 3577831494 Enrollment ID: O20170619001543 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Gustavo Joaquin Perez, PHD 535 N Wilmot Rd Ste 201, Tucson, AZ 85711-2629 Ph: (520) 343-1777 | Dr Gustavo Joaquin Perez, PHD 535 N Wilmot Rd Ste 201, Tucson, AZ 85711-2629 Ph: (520) 343-1777 |
Jon Howard Mccaine, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 37 E Speedway Blvd, Tucson, AZ 85705 Phone: 602-502-3629 | |
Dr. Cassandra Jo Rasmussen, PSYD Psychologist Medicare: May Accept Medicare Assignments Practice Location: 2800 E Ajo Way, Tucson, AZ 85713 Phone: 520-874-4062 Fax: 520-874-4312 | |
Dr. Jacquelyn St. Germaine, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 380 E Fort Lowell Rd, #122, Tucson, AZ 85705 Phone: 520-325-6097 Fax: 520-531-1095 | |
Ms. Lisa Sharon Coyner, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 701 West Wetmore Road, Amphitheater Public Schools, Tucson, AZ 85705 Phone: 520-696-5237 Fax: 520-696-5067 | |
Dr. Andrea A. Russell, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 7660 E Broadway Blvd, Suite 207, Tucson, AZ 85710 Phone: 520-885-0557 | |
Maureen Jane Hutter, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1050 E River Rd, Suite 102, Tucson, AZ 85718 Phone: 520-293-8446 | |
Dr. Mayday R. Levine, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 504 W 29th St, Tucson, AZ 85713 Phone: 520-437-9035 Fax: 520-622-7324 |