| Elysia Small, PA | |
|
1501 S Yale St, Building 2 Suite 150, Flagstaff, AZ 86001-7304 | |
| (928) 527-4325 | |
| (928) 527-4327 |
| Full Name | Elysia Small |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 10 Years |
| Location | 1501 S Yale St, Flagstaff, 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 |
|---|---|---|---|
| 1174074991 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 6563 (Arizona) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Angels Care Home Health Of Arizona No 5 | Flagstaff, AZ | Home health agency |
| Flagstaff Medical Center | Flagstaff, AZ | Hospital |
| Verde Valley Medical Center | Cottonwood, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ryan Internal Medicine Pc | 4082613708 | 5 |
| Greater Phoenix Collaborative Care Pc | 0941503304 | 111 |
| Entity Name | Doc Martins Inc a C C |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699724039 PECOS PAC ID: 6608867197 Enrollment ID: O20040522000252 |
| Entity Name | Ryan Internal Medicine PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033225024 PECOS PAC ID: 4082613708 Enrollment ID: O20061211000025 |
| Entity Name | Greater Phoenix Collaborative Care PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750686614 PECOS PAC ID: 0941503304 Enrollment ID: O20160120000300 |
| Mailing Address | Practice Location Address |
|---|---|
| Elysia Small, PA Po Box 35380, Las Vegas, NV 89133-5380 Ph: (702) 954-7761 | Elysia Small, PA 1501 S Yale St, Building 2 Suite 150, Flagstaff, AZ 86001-7304 Ph: (928) 527-4325 |
Mr. Bruce A Mortensen, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 2000 S Thompson St, Flagstaff, AZ 86001 Phone: 928-226-6400 Fax: 928-226-6410 |
Corey Allen Carver, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 525 N Switzer Canyon Dr, Flagstaff, AZ 86001 Phone: 928-773-2280 Fax: 928-773-2281 |
Erin H Engel, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 107 E Oak Ave, Flagstaff, AZ 86001 Phone: 928-779-7880 Fax: 928-779-7895 |
Anna Elizabeth Fredenberg, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 525 N Switzer Canyon Dr, Flagstaff, AZ 86001 Phone: 928-773-2280 Fax: 928-773-2281 |
Kelly Michele Czarnecki, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1490 N Turquoise Dr, Flagstaff, AZ 86001 Phone: 928-774-5074 Fax: 928-774-0884 |
Kimberly Sargent, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 107 E Oak Ave, Flagstaff, AZ 86001 Phone: 928-779-7880 |
Mr. Raymond Wolfgang Lieber, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 107 E Oak Ave, Flagstaff, AZ 86001 Phone: 928-779-7880 Fax: 928-779-7895 |