| Jacqueline Virginia Mooney, | |
|
5880 S Hospital Dr, Globe, AZ 85501-9447 | |
| (928) 425-3261 | |
| (928) 425-3859 |
| Full Name | Jacqueline Virginia Mooney |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 4 Years |
| Location | 5880 S Hospital Dr, Globe, 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 |
|---|---|---|---|
| 1245998772 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 9439 (Arizona) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Billet Home Health Inc - Mesa | Mesa, AZ | Home health agency |
| Cobre Valley Regional Medical Center | Globe, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cobre Valley Regional Medical Center | 0648181693 | 40 |
| Entity Name | Cobre Valley Regional Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871566521 PECOS PAC ID: 0648181693 Enrollment ID: O20040312001228 |
| Entity Name | Cobre Valley Regional Medical Center |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1871566521 PECOS PAC ID: 0648181693 Enrollment ID: O20081006000059 |
| Mailing Address | Practice Location Address |
|---|---|
| Jacqueline Virginia Mooney, 5880 North Hospital Drive, Globe, AZ 85501 Ph: (928) 425-3261 | Jacqueline Virginia Mooney, 5880 S Hospital Dr, Globe, AZ 85501-9447 Ph: (928) 425-3261 |
Mr. Peter B. Peifer, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5880 S Hospital Dr, Globe, AZ 85501 Phone: 928-425-3247 Fax: 928-425-3859 |
John Allen Saums, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 5880 S Hospital Dr, Globe, AZ 85501 Phone: 928-425-3261 |
Mrs. Sherida Carlson, PAC Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 108 S Broad St, Globe, AZ 85501 Phone: 928-425-6592 Fax: 928-425-7655 |
Zachariah Mcbride, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5880 S Hospital Dr, Globe, AZ 85501 Phone: 928-425-3261 |
Mr. Tanner Bo Carlson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1100 E Monroe St Ste 101, Globe, AZ 85501 Phone: 928-425-8200 Fax: 928-425-8406 |
Margaret Johnston, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5990 S Hospital Dr, Globe, AZ 85501 Phone: 928-425-8151 |
Ryan Bradley, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5880 N Hospital Dr, Globe, AZ 85501 Phone: 928-425-3247 |