| Amanda Simmons Grace, MD | |
|
4212 N 16th St, Phoenix, AZ 85016-5319 | |
| (602) 263-1200 | |
| (602) 263-1619 |
| Full Name | Amanda Simmons Grace |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Experience | 22 Years |
| Location | 4212 N 16th St, Phoenix, Arizona |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396773628 | NPI | - | NPPES |
| P00477582 | Other | AZ | RR MEDICARE |
| 989759 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 33644 (Arizona) | Primary |
| 207Q00000X | Family Medicine | 33644 (Arizona) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St. Joseph's Hospital And Medical Center | Phoenix, AZ | Hospital |
| Dignity Health Arizona General Hospital | Mesa, AZ | Hospital |
| Dignity Health - Arizona General Hospital | Laveen, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Empower St Josephs Pllc | 2961866173 | 39 |
| Tec Emergency Physicians Of Arizona, Llc | 6204256084 | 127 |
| Entity Name | Tec Emergency Physicians Of Arizona, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245772870 PECOS PAC ID: 6204256084 Enrollment ID: O20201016000157 |
| Entity Name | Empower St Josephs Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154015089 PECOS PAC ID: 2961866173 Enrollment ID: O20231222001956 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Simmons Grace, MD Po Box 95460, Cleveland, OH 44101-0033 Ph: (602) 581-6076 | Amanda Simmons Grace, MD 4212 N 16th St, Phoenix, AZ 85016-5319 Ph: (602) 263-1200 |
Dr. Joel Philip Betz, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2601 E Roosevelt St, Phoenix, AZ 85008 Phone: 602-344-5411 | |
Beth Marie Ranney, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 645 E Missouri Ave Ste 300, Phoenix, AZ 85012 Phone: 480-500-2540 | |
Dr. Carrie Lynn Cook, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1111 E Mcdowell Rd, Phoenix, AZ 85006 Phone: 480-500-2540 Fax: 623-201-7954 | |
Joseph Choi, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2000 W Bethany Home Rd, Phoenix, AZ 85015 Phone: 602-249-0212 | |
Diana M Bui, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 5777 E Mayo Blvd, Phoenix, AZ 85054 Phone: 480-301-8000 | |
Dr. Diana Lynelle Dabell, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1300 N 12th St, Ste 301, Phoenix, AZ 85006 Phone: 602-839-6968 | |
Dr. Jason B Daniels, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5102 W Campbell Ave, Phoenix, AZ 85031 Phone: 623-848-5000 |