| Eric James Humphrey, PA-C | |
|
6200 N La Cholla Blvd, Tucson, AZ 85741-3529 | |
| (520) 742-9000 | |
| Not Available |
| Full Name | Eric James Humphrey |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 6200 N La Cholla Blvd, Tucson, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356951891 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 1178659 (Oregon) | Secondary |
| 363A00000X | Physician Assistant | 11015 (Arizona) | Primary |
| Entity Name | Legacy Clinics LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902827272 PECOS PAC ID: 0244144004 Enrollment ID: O20031117000089 |
| Entity Name | Northwest Acute Care Specialists PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215983200 PECOS PAC ID: 7012807373 Enrollment ID: O20040318001535 |
| Mailing Address | Practice Location Address |
|---|---|
| Eric James Humphrey, PA-C 13009 Ne Highway 99 Ste 100, Vancouver, WA 98686-2307 Ph: Not Available | Eric James Humphrey, PA-C 6200 N La Cholla Blvd, Tucson, AZ 85741-3529 Ph: (520) 742-9000 |
Miss Ashlee Elizabeth Krongaard, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4280 N Oracle Rd Ste 100, Tucson, AZ 85705 Phone: 188-838-1485 |
Ms. Barbara Magno Vucasovich, SA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1621 N Via Encanto, Tucson, AZ 85715 Phone: 214-227-2457 Fax: 214-764-0880 |
Alexandria Taysom, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1625 N Campbell Ave, Tucson, AZ 85719 Phone: 520-694-0111 |
Olivia Katherine Sobojinski, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6130 N La Cholla Blvd Ste 135a, Tucson, AZ 85741 Phone: 520-881-1394 Fax: 520-882-7467 |
Ms. Anne M Elliott, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 7566 N La Cholla Blvd, Suite A, Tucson, AZ 85741 Phone: 520-742-4139 Fax: 520-742-3010 |
Raven Janin Marshall-santillan, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3601 S 6th Ave, Tucson, AZ 85723 Phone: 520-792-1450 |
Andrea N Steele, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1735 E Skyline Dr, Tucson, AZ 85718 Phone: 520-618-1630 Fax: 520-618-1636 |