MEDICARE: BENIGNO F DECENA III MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0000X	Cardiovascular Disease Physician	32303	AZ
2	207RC0001X	Clinical Cardiac Electrophysiology Physician	32303	AZ

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
5	P00084839	OTHER	AZ	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2198100	OTHER	AZ	GHI
2	2Z0331	OTHER	AZ	HEALTH NET
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	2079115	OTHER	AZ	FIRST HEALTH
6	5427615	OTHER	AZ	CCN
7	7597308	OTHER	AZ	AETNA
8	886331	OTHER	AZ	USA MANAGED CARE ORGANIZA
9	AZ0743710	OTHER	AZ	BCBS OF ARIZONA

General Provider Information

NPI Number	:	1023011269
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BENIGNO F DECENA III MD

Provider Business Mailing Address
First Line	:	3709 N CAMPBELL AVE STE 201
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85719-1563
Country	:	US
Telephone Number	:	520-838-2138
Fax Number	:	520-624-2798

Provider Business Practice Location Address
First Line	:	4729 E CAMP LOWELL DR
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85712-1256
Country	:	US
Telephone Number	:	520-838-3540
Fax Number	:	520-325-3526

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/23/2005
Last Update Date	:	02/01/2018

Similar Medicare Providers

1609601764 — ARIZONA JOINT SPECIALTY CENTER
Practice Location Address:

4753 E CAMP LOWELL DR
TUCSON, AZ
85712-1256

Practice Phone: 520-269-7547
Practice Fax:

1952304073 — DR. LEONARD JOFFE MD
Practice Location Address:

4753 EAST CAMP LOWELL DRIVE
TUCSON, AZ
85712-1256

Practice Phone: 520-881-1400
Practice Fax: 520-881-1418

1285637306 — DR. REID F SCHINDLER MD
Practice Location Address:

4753 EAST CAMP LOWELL DRIVE
TUCSON, AZ
85712-1256

Practice Phone: 520-881-1400
Practice Fax: 520-881-1418

1194727438 — PETER H SPOONER MD
Practice Location Address:

4729 E CAMP LOWELL DR
TUCSON, AZ
85712-1256

Practice Phone: 520-838-3540
Practice Fax: 520-325-3526

1992709240 — TIMOTHY A BEER MD
Practice Location Address:

4727 E CAMP LOWELL DR
TUCSON, AZ
85712-1256

Practice Phone: 520-290-4263
Practice Fax: 520-323-2716

1205838398 — THOMAS E BUTLER JR. MD
Practice Location Address:

4727 E CAMP LOWELL DR
TUCSON, AZ
85712-1256

Practice Phone: 520-290-4263
Practice Fax: 520-323-2716

Directions to “ BENIGNO F DECENA III MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.