Dr. Mariano is a board certified Internal Medicine physician who has been practicing medicine for approximately 30 years. A 24 year veteran of the U.S. Navy who retired with the rank of Rear Admiral, Dr. Mariano was White House Physician to three American presidents (Bush Sr, Clinton, Bush) and Director of the White House Medical Unit. After retiring from the Navy and leaving the White House in 2001, Dr. Mariano was a consultant physician in the Executive Health Program at the Mayo Clinic Scottsdale where she performed annual exams and managed the care of corporate CEOs and their spouses.

Dr. Mariano founded her medical concierge practice, The Center for Executive Medicine (CEM) in November 2005 in pursuit of a better way of providing medical care to her patients. Her practice provides exclusive access rights to her for her member patients along with comprehensive appointment visits, facilitated referrals, and minimal waiting to gain appointments with Dr. Mariano. The CEM also provides, as a courtesy to our patients, a billing service to file each claim for visits as an effort to spare our patients the bureaucratic task required to file medical insurance claims. Each claim is reimbursed directly to the patient.

The CEM does not participate with insurance companies which means clients will probably be reimbursed at an out-of-network basis for most visits. Each insurance agency has different rules and we advise that our patients check with their insurance carrier regarding reimbursement rules.

In order to provide the personalized services our patients enjoy, Dr. Mariano limits her patient membership to under 350 patients.

There is an annual fee to join the CEM. The membership fee is an access fee that allows the exclusive 24/7 access to Dr. Mariano. Each patient care visit is billed at the time of service.

The Center for Executive Medicine is managed by a former member of Dr. Mariano’s White House Medical Unit, James McLeod. Mr. McLeod was a 25 year Air Force veteran who served two terms totaling seven years in the White House during the Clinton and recent Bush administrations. Mr. McLeod was responsible for the smooth management of the President’s clinic as well as performing contingency planning and care for the President and First Family during their travels. The synergy achieved by this unique doctor/clinical administrator team is not something that is found in any other form of concierge practice anywhere in medicine in the U. S. and abroad.

For further information about gaining membership to our practice, please contact Mr. Jim McLeod at (480) 945-2494 as well as to schedule a complimentary meet-and-greet with Dr. Mariano to discuss membership. We welcome the opportunity to meet you and have you join our presidential-care medical practice.