| Jacob Peter Whitney, PA-C | |
|
2946 E Banner Gateway Drive, Gilbert, AZ 85234-2165 | |
| (480) 256-6444 | |
| (480) 256-3682 |
| Full Name | Jacob Peter Whitney |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 6 Years |
| Location | 2946 E Banner Gateway Drive, Gilbert, 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 |
|---|---|---|---|
| 1770119083 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 7810 (Arizona) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Honorhealth Sonoran Crossing Medical Center | Phoenix, AZ | Hospital |
| Honorhealth John C. Lincoln Medical Center | Phoenix, AZ | Hospital |
| Honorhealth Deer Valley Medical Center | Phoenix, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Honorhealth | 1456258607 | 66 |
| Entity Name | Honorhealth |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801092564 PECOS PAC ID: 1456258607 Enrollment ID: O20031216000350 |
| Entity Name | Chandler Emergency Medical Group LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104871961 PECOS PAC ID: 1658272968 Enrollment ID: O20040120000160 |
| Entity Name | Emcare - Pnx Emergency Physicians LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902855992 PECOS PAC ID: 3779574165 Enrollment ID: O20040524000667 |
| Entity Name | Loop 101 Emergency Physicians LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376573378 PECOS PAC ID: 0840295481 Enrollment ID: O20061003000466 |
| Entity Name | Banner Cancer Center Specialists LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518253152 PECOS PAC ID: 6103097779 Enrollment ID: O20110913000224 |
| Entity Name | 303 Emergency Physicians PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518398585 PECOS PAC ID: 2567692528 Enrollment ID: O20140313001083 |
| Mailing Address | Practice Location Address |
|---|---|
| Jacob Peter Whitney, PA-C 2946 E Banner Gateway Drive, Gilbert, AZ 85234-2165 Ph: (480) 256-6444 | Jacob Peter Whitney, PA-C 2946 E Banner Gateway Drive, Gilbert, AZ 85234-2165 Ph: (480) 256-6444 |
Samuel Dean Fox, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4915 E Baseline Rd Ste 102, Gilbert, AZ 85234 Phone: 480-646-8660 Fax: 480-646-8665 |
Ethan Everlith, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2940 E Banner Gateway Dr Ste 200, Gilbert, AZ 85234 Phone: 480-964-2908 |
Clara Michelle Goodman, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3530 S Val Vista Dr Ste C101, Gilbert, AZ 85297 Phone: 602-491-0703 Fax: 833-661-1781 |
Saira Punjwani Hemani, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4100 S Lindsay Rd Ste 129, Gilbert, AZ 85297 Phone: 718-216-7002 |
Amanda E Shelley, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2196 E Williams Field Rd, #116, Gilbert, AZ 85295 Phone: 480-237-1395 Fax: 602-218-4076 |
Clay Daniel Shorter, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2940 E Banner Gateway Dr Ste 200-250, Gilbert, AZ 85234 Phone: 602-648-5444 Fax: 602-772-3801 |
Carolyn Renee Wagner Von Hoff, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3591 S Mercy Rd Ste 204, Gilbert, AZ 85297 Phone: 866-974-2673 Fax: 866-939-2673 |