Mary Louisa Brubaker, PA - Family Medicine in Flagstaff, AZ

Mary Louisa Brubaker, PA is a Family Medicine physician based in Flagstaff, Arizona. Mary Louisa Brubaker is licensed to practice in Arizona (license number 2368) and her current practice location is 2920 N 4th St, Flagstaff, Arizona. She can be reached at her office (for appointments etc.) via phone at (928) 213-6121.

NPI number for Mary Louisa Brubaker is 1336117134 and her current mailing address is Po Box 3630, Flagstaff, Arizona. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1336117134.

Contact Information

Mary Louisa Brubaker, PA
2920 N 4th St,
Flagstaff, AZ 86004-1816
(928) 213-6121
(928) 213-6136



Physician's Profile

Full NameMary Louisa Brubaker
GenderFemale
SpecialityFamily Medicine
Location2920 N 4th St, Flagstaff, Arizona
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1336117134
  • Provider Enumeration Date: 03/09/2006
  • Last Update Date: 08/04/2008

Medical Identifiers

Medical identifiers for Mary Louisa Brubaker such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1336117134NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 2368 (Arizona)Primary
1835P1200XPharmacist - Pharmacotherapy 7108 (Arizona)Secondary

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. Mary Louisa Brubaker 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
Mary Louisa Brubaker, PA
Po Box 3630,
Flagstaff, AZ 86003-3630

Ph: (928) 213-6121
Mary Louisa Brubaker, PA
2920 N 4th St,
Flagstaff, AZ 86004-1816

Ph: (928) 213-6121

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› Verified 9 days ago


Family Medicine Doctors in Flagstaff, AZ

Kaitlyn Losey,
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1200 N Beaver St, Flagstaff, AZ 86001
Phone: 928-773-2451    Fax: 928-214-2925
Charles Smith, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2920 N 4th St, Flagstaff, AZ 86004
Phone: 928-213-6100    Fax: 928-774-4808
Christine Ameduri, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1110 E Route 66 Ste 100, Flagstaff, AZ 86001
Phone: 928-773-9695    Fax: 928-773-0208
Donna Nelson,
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: South San Francisco And Dome Access, Bldg 41 Nau Campus, Flagstaff, AZ 86011
Phone: 928-523-6343    
Dr. Eric Henley, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 2920 N 4th St, Flagstaff, AZ 86004
Phone: 928-213-6100    Fax: 928-774-4808
Dr. Charles Dennis Bendixen, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1955 N Meteor Dr, Flagstaff, AZ 86001
Phone: 928-774-2061    
Dr. Jane Ellen Dill, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 2920 N 4th St, Flagstaff, AZ 86004
Phone: 928-213-6100    Fax: 928-774-4808

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