| Brooke E Kelly, PA-C | |
|
2502 E Camelback Rd Ste 160, Phoenix, AZ 85016-9315 | |
| (480) 306-6949 | |
| (602) 302-5706 |
| Full Name | Brooke E Kelly |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 2 Years |
| Location | 2502 E Camelback Rd Ste 160, 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 |
|---|---|---|---|
| 1568290054 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Tucson Medical Center | Tucson, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Smi Imaging Llc | 3476696220 | 380 |
| Simonmed Imaging Florida Llc | 6608036108 | 302 |
| Simonmed Imaging Florida Llc | 6608036108 | 302 |
| Tmc Medical Network | 9638457013 | 276 |
| Entity Name | Simonmed Imaging Florida LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477830818 PECOS PAC ID: 6608036108 Enrollment ID: O20160712002225 |
| Entity Name | TMC Medical Network |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750832283 PECOS PAC ID: 9638457013 Enrollment ID: O20161107000996 |
| Entity Name | Smi Imaging LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972004489 PECOS PAC ID: 3476696220 Enrollment ID: O20180829003142 |
| Entity Name | Howard Simon MD PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659930998 PECOS PAC ID: 7214369966 Enrollment ID: O20200123001656 |
| Mailing Address | Practice Location Address |
|---|---|
| Brooke E Kelly, PA-C 16220 N Scottsdale Rd Ste 600, Scottsdale, AZ 85254-1804 Ph: (480) 306-6949 | Brooke E Kelly, PA-C 2502 E Camelback Rd Ste 160, Phoenix, AZ 85016-9315 Ph: (480) 306-6949 |
Laura Manigo, PA-C, MMS Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6135 N 35th Ave Ste 117, Phoenix, AZ 85017 Phone: 480-677-8282 |
Perry E Edinger, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 19636 N 27th Ave Ste 203, Phoenix, AZ 85027 Phone: 623-562-5050 Fax: 602-294-8277 |
Mr. Andrew Shane Kuhlman, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1635 E Myrtle Ave, Ste 400, Phoenix, AZ 85020 Phone: 602-944-2900 Fax: 602-944-0064 |
Marta Rebeccah Liang, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1441 N 12th St Fl 3, Phoenix, AZ 85006 Phone: 602-521-5700 Fax: 602-521-5701 |
Anh Truong Le, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 727 E Bethany Home Rd Ste D118, Phoenix, AZ 85014 Phone: 602-279-2400 Fax: 602-279-5890 |
Ms. Courtney Whidden Page, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 18444 N 25th Ave Ste 210, Phoenix, AZ 85023 Phone: 669-742-6738 Fax: 866-939-2673 |
Mr. Diego C. Alvarado, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 3333 E Camelback Rd Ste 122, Phoenix, AZ 85018 Phone: 602-522-1900 Fax: 602-381-3281 |