| Jason Richard Erickson, PA-C | |
|
14520 W Granite Valley Dr Ste 210, Sun City West, AZ 85375-5855 | |
| (866) 974-2673 | |
| (866) 939-2673 |
| Full Name | Jason Richard Erickson |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 5 Years |
| Location | 14520 W Granite Valley Dr Ste 210, Sun City West, 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 |
|---|---|---|---|
| 1942890843 | NPI | - | NPPES |
| 094498 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 8361 (Arizona) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| The Core Institute Specialty Hospital | Phoenix, AZ | Hospital |
| Banner Del E. Webb Medical Center | Sun city west, AZ | Hospital |
| Banner Estrella Medical Center | Phoenix, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Center For Orthopedic Research And Education Llc | 0345287322 | 247 |
| Honorhealth Urgent Care Llc | 0345130266 | 103 |
| Entity Name | Honorhealth Urgent Care LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740273614 PECOS PAC ID: 0345130266 Enrollment ID: O20040316000867 |
| Entity Name | Center for Orthopedic Research and Education LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427095801 PECOS PAC ID: 0345287322 Enrollment ID: O20050412000087 |
| Entity Name | Advanced Minimally Invasive Surgical |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295056919 PECOS PAC ID: 4183758527 Enrollment ID: O20100819001272 |
| Entity Name | Banner Urgent Care Arizona LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316349855 PECOS PAC ID: 3678749496 Enrollment ID: O20111228000784 |
| Entity Name | Banner Urgent Care Services LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609229764 PECOS PAC ID: 4284921610 Enrollment ID: O20160928001188 |
| Entity Name | Toca at Banner Health LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386270932 PECOS PAC ID: 3072934777 Enrollment ID: O20200604003160 |
| Entity Name | Honorhealth-fastmed Ambulatory Holdings LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467069047 PECOS PAC ID: 0244650505 Enrollment ID: O20201027000044 |
| Mailing Address | Practice Location Address |
|---|---|
| Jason Richard Erickson, PA-C 18444 N 25th Ave Ste 310, Phoenix, AZ 85023-1266 Ph: (866) 974-2673 | Jason Richard Erickson, PA-C 14520 W Granite Valley Dr Ste 210, Sun City West, AZ 85375-5855 Ph: (866) 974-2673 |
Linsy Angela Townsend, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 14502 W Meeker Blvd, Sun City West, AZ 85375 Phone: 623-524-4000 |
Patrick Landon Burrup, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 14502 Meeker Blvd, Sun City West, AZ 85375 Phone: 623-214-4000 Fax: 623-975-8752 |
Bradford Gibson Tenney, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 14520 W Granite Valley Dr, Suite 210, Sun City West, AZ 85375 Phone: 623-537-5600 Fax: 866-939-2673 |
Miss Tasha Grissett, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 14502 W Meeker Blvd, Sun City West, AZ 85375 Phone: 623-524-8767 |
Jason Muesch, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 14502 W Meeker Blvd, Sun City West, AZ 85375 Phone: 623-524-4000 |
Benito B Rodriguez, PA C Physician Assistant Medicare: Medicare Enrolled Practice Location: 14502 W Meeker Blvd, Sun City West, AZ 85375 Phone: 623-214-4000 Fax: 623-214-4000 |
Stephanie Verrell, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 14502 W Meeker Blvd, Banner Del E. Webb Emergency Dept, Sun City West, AZ 85375 Phone: 623-524-4067 |