Brynna Scout Fullerton Vergara, - Pathology in Cottonwood, AZ

Brynna Scout Fullerton Vergara, is a Pathology - Clinical Pathology physician based in Cottonwood, Arizona. Brynna Scout Fullerton Vergara is licensed to practice in Arizona (license number SLPA14693) and her current practice location is 101 S Airpark Rd, Cottonwood, Arizona. She can be reached at her office (for appointments etc.) via phone at (928) 639-2694.

NPI number for Brynna Scout Fullerton Vergara is 1003598608 and her current mailing address is 101 Airpark Road, Suite M, Cottonwood, Arizona. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1003598608.

Contact Information

Brynna Scout Fullerton Vergara,
101 S Airpark Rd,
Cottonwood, AZ 86326-4182
(928) 639-2694
Not Available



Physician's Profile

Full NameBrynna Scout Fullerton Vergara
GenderFemale
SpecialityPathology - Clinical Pathology
Location101 S Airpark Rd, Cottonwood, Arizona
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1003598608
  • Provider Enumeration Date: 08/02/2023
  • Last Update Date: 08/02/2023

Medical Identifiers

Medical identifiers for Brynna Scout Fullerton Vergara such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003598608NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207ZC0006XPathology - Clinical Pathology SLPA14693 (Arizona)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Brynna Scout Fullerton Vergara is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Brynna Scout Fullerton Vergara,
101 Airpark Road, Suite M,
Cottonwood, AZ 86326

Ph: (928) 639-2694
Brynna Scout Fullerton Vergara,
101 S Airpark Rd,
Cottonwood, AZ 86326-4182

Ph: (928) 639-2694

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› Verified 6 days ago


Pathology Doctors in Cottonwood, AZ

Gregory Daniel Novak, MD
Pathology
Medicare: Medicare Enrolled
Practice Location: 269 S Candy Ln, Cottonwood, AZ 86326
Phone: 928-639-6180    Fax: 928-639-6698
Anna Pacelli, M.D.
Pathology
Medicare: Not Enrolled in Medicare
Practice Location: 269 S Candy Ln, Cottonwood, AZ 86326
Phone: 928-639-6180    Fax: 928-639-6698
Dr. Mark E Miller, M.D.
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 269 S Candy Ln, Cottonwood, AZ 86326
Phone: 928-639-6180    Fax: 928-639-6698

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