| Edgar D Cornejo, PHYSICIAN ASSISTANT | |
|
14175 W Indian School Rd Ste B4-120, Goodyear, AZ 85395-8407 | |
| (956) 222-7774 | |
| Not Available |
| Full Name | Edgar D Cornejo |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 30 Years |
| Location | 14175 W Indian School Rd Ste B4-120, Goodyear, Arizona |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912660440 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 1100-P.A. (Puerto Rico) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Arizona Health Services Pllc | 5193941144 | 5 |
| Entity Name | Arizona Health Services PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659796985 PECOS PAC ID: 5193941144 Enrollment ID: O20140728001144 |
| Mailing Address | Practice Location Address |
|---|---|
| Edgar D Cornejo, PHYSICIAN ASSISTANT 14175 W Indian School Rd Ste B4-120, Goodyear, AZ 85395-8407 Ph: (956) 222-7774 | Edgar D Cornejo, PHYSICIAN ASSISTANT 14175 W Indian School Rd Ste B4-120, Goodyear, AZ 85395-8407 Ph: (956) 222-7774 |
Ebenezer Khuram Qureshi, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1507 N Litchfield Rd Ste 200, Goodyear, AZ 85395 Phone: 623-215-0040 Fax: 623-935-9602 |
Maci Noble, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 15400 W Roosevelt St Apt 3099, Goodyear, AZ 85338 Phone: 541-621-6964 |
Jenna L Graham, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 13555 W Mcdowell Rd, Goodyear, AZ 85395 Phone: 623-935-5522 Fax: 623-935-3220 |
Ms. Stacie Lyn Patterson, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 13677 W. Mc Dowell Road, 201, Goodyear, AZ 85395 Phone: 623-882-1926 Fax: 623-882-1709 |
Grace Mary Ruettinger, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 13471 W Cornerstone Blvd, Goodyear, AZ 85395 Phone: 480-964-2273 |
Kyle Jervis, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 13677 W Mcdowell Rd # Az85395, Goodyear, AZ 85395 Phone: 623-882-1500 |
Katrina Carbonell Aquino, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 13677 W Mcdowell Rd, Goodyear, AZ 85395 Phone: 623-882-1500 |