| Jason Allen Vincent, NP | |
|
7201 W Camino San Xavier, Glendale, AZ 85308-3798 | |
| (480) 985-1093 | |
| (480) 296-7665 |
| Full Name | Jason Allen Vincent |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 7201 W Camino San Xavier, Glendale, 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 |
|---|---|---|---|
| 1912504812 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 248634 (Arizona) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Western Regional Medical Center | Goodyear, AZ | Hospital |
| Banner Boswell Medical Center | Sun city, AZ | Hospital |
| La Paz Regional Hospital | Parker, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lakeside Orthopedic Institute Llc | 1052316445 | 21 |
| City Of Hope Medical Group Of Arizona Llc | 2264593474 | 119 |
| Pain And Palliative Associates Of Arizona | 9638408487 | 18 |
| Entity Name | Lakeside Orthopedic Institute Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275564916 PECOS PAC ID: 1052316445 Enrollment ID: O20060918000307 |
| Entity Name | City Of Hope Medical Group Of Arizona Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609026806 PECOS PAC ID: 2264593474 Enrollment ID: O20081205000793 |
| Entity Name | Pain And Palliative Associates Of Arizona |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538723531 PECOS PAC ID: 9638408487 Enrollment ID: O20190904002577 |
| Mailing Address | Practice Location Address |
|---|---|
| Jason Allen Vincent, NP Po Box 20610, Mesa, AZ 85277-0610 Ph: (480) 985-1093 | Jason Allen Vincent, NP 7201 W Camino San Xavier, Glendale, AZ 85308-3798 Ph: (480) 985-1093 |
Mrs. Melanie Ann Nugent, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5310 W Thunderbird Rd Ste 301, Glendale, AZ 85306 Phone: 602-865-4442 Fax: 602-865-4507 | |
Kaitlin Spivey, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7701 W Aspera Blvd, Glendale, AZ 85308 Phone: 623-248-2100 | |
Ruth E Sanders, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5041 N 86th Dr, Glendale, AZ 85305 Phone: 866-389-2727 Fax: 612-659-7101 | |
Ms. Christa L O'mara, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7701 W Aspera Blvd, Glendale, AZ 85308 Phone: 623-248-2108 | |
Emma Louise Keltgen, DNP, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6975 W Glendale Ave, Glendale, AZ 85303 Phone: 602-243-7277 Fax: 602-286-0808 | |
Joyce Kim, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6151-6153 W Olive Ave, Glendale, AZ 85302 Phone: 602-773-5546 | |
Anthony James Shaw, AGACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7190 W Fleetwood Ln, Glendale, AZ 85303 Phone: 602-568-8381 |