| Devin Lane Porter, PA-C | |
|
2200 E Show Low Lake Rd, Show Low, AZ 85901-7831 | |
| (928) 537-4375 | |
| Not Available |
| Full Name | Devin Lane Porter |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 2200 E Show Low Lake Rd, Show Low, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992144943 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 5410 (Arizona) | Primary |
| Entity Name | Summit Healthcare Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144209271 PECOS PAC ID: 3779568647 Enrollment ID: O20040623001125 |
| Entity Name | Emergency Physicians Southwest PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912053752 PECOS PAC ID: 2264538529 Enrollment ID: O20070502000382 |
| Entity Name | Summit Healthcare Medical Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467878108 PECOS PAC ID: 8729205737 Enrollment ID: O20140815000931 |
| Entity Name | Innova Emergency Medical Associates PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295178978 PECOS PAC ID: 2860633435 Enrollment ID: O20160525000770 |
| Mailing Address | Practice Location Address |
|---|---|
| Devin Lane Porter, PA-C Po Box 159, Overgaard, AZ 85933-0159 Ph: (480) 433-0371 | Devin Lane Porter, PA-C 2200 E Show Low Lake Rd, Show Low, AZ 85901-7831 Ph: (928) 537-4375 |
Mitchell Kirk Bogle, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2951 N Clark Rd, Show Low, AZ 85901 Phone: 928-537-2550 Fax: 928-832-7228 |
Mr. Curtis Vance Birdno, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4951 S White Mountain Rd Bldg A, Show Low, AZ 85901 Phone: 928-532-1605 Fax: 928-532-2197 |
Maureen Mary Wallace, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2500 E Hunt Dr Ste H-j, Show Low, AZ 85901 Phone: 928-537-6937 Fax: 928-537-3977 |
Quezia Hall, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4951 S White Mountain Rd Bldg A, Show Low, AZ 85901 Phone: 928-537-6700 Fax: 928-537-9581 |
Mr. Eric Olson, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2450 E Show Low Lake Rd Ste 1, Show Low, AZ 85901 Phone: 928-532-5577 |
Jessica Fain, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2200 E Show Low Lake Rd, Show Low, AZ 85901 Phone: 928-537-6371 |
Mr. Justin C Hazen, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2200 E Show Low Lake Rd, Show Low, AZ 85901 Phone: 928-537-4375 |