| Dr Jon Glenn Pace, MD | |
| 1850 N Central Ave, Suite 1600, Phoenix, AZ 85004-4527 | |
| (602) 744-4765 | |
| (602) 744-4799 | 
| Full Name | Dr Jon Glenn Pace | 
|---|---|
| Gender | Male | 
| Speciality | Anesthesiology | 
| Location | 1850 N Central Ave, Phoenix, Arizona | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1245291244 | NPI | - | NPPES | 
| 107251 | Medicaid | AZ | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207L00000X | Anesthesiology | A68757 (California) | Secondary | 
| 207L00000X | Anesthesiology | 35341 (Arizona) | Primary | 
| Entity Name | J Pace Md A Professional Corporation | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1841831849 PECOS PAC ID: 9931532942 Enrollment ID: O20191205001289 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Jon Glenn Pace, MD 1850 N Central Ave, Suite 1600, Phoenix, AZ 85004-4527 Ph: (602) 744-4765 | Dr Jon Glenn Pace, MD 1850 N Central Ave, Suite 1600, Phoenix, AZ 85004-4527 Ph: (602) 744-4765 | 
| Dr. Ahmar Husain, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1919 E Thomas Rd, Phoenix, AZ 85016 Phone: 602-933-4660 | |
| Gerald D. Peiser, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 4441 E Mcdowell Rd, # 101, Phoenix, AZ 85008 Phone: 602-273-6770 Fax: 602-889-0489 | |
| Asha Thakur, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1715 W Northern Ave, Suite 108, Phoenix, AZ 85021 Phone: 602-395-0718 Fax: 602-277-8146 | |
| Joshua Aaron Bloomstone, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 645 E Missouri Ave Ste 300, Phoenix, AZ 85012 Phone: 602-262-8900 Fax: 602-262-8890 | |
| Jeffrey Parker Morray, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 2901 North Central Ave, Ste 500, Phoenix, AZ 85012 Phone: 602-262-8900 Fax: 602-262-8919 | |
| Dr. Eric L Pedicini, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1850 N Central Ave, Suite1600, Phoenix, AZ 85004 Phone: 602-262-8900 Fax: 602-262-8890 | |
| Laura Kareen Griffin, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1919 E Thomas Rd, Phoenix, AZ 85016 Phone: 602-933-4660 Fax: 602-933-8945 |