| Jason Lee Haugen, PA-C | |
|
530 N Estrella Pkwy, Suite C-1, Goodyear, AZ 85338 | |
| (623) 932-9211 | |
| (623) 932-9210 |
| Full Name | Jason Lee Haugen |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 15 Years |
| Location | 530 N Estrella Pkwy, Goodyear, 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 |
|---|---|---|---|
| 1659659225 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Banner Urgent Care Services Llc | 4284921610 | 207 |
| Banner Urgent Care Arizona Llc | 3678749496 | 47 |
| 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 | Estrella Pkwy Medical Center LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871546036 PECOS PAC ID: 6002067410 Enrollment ID: O20121113000144 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Jason Lee Haugen, PA-C 530 N Estrella Pkwy, Suite C-1, Goodyear, AZ 85338 Ph: (623) 932-9211 | Jason Lee Haugen, PA-C 530 N Estrella Pkwy, Suite C-1, Goodyear, AZ 85338 Ph: (623) 932-9211 |
Ebenezer Khuram Qureshi, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1507 N Litchfield Rd Ste 200, Goodyear, AZ 85395 Phone: 623-215-0040 Fax: 623-935-9602 |
Maci Noble, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 15400 W Roosevelt St Apt 3099, Goodyear, AZ 85338 Phone: 541-621-6964 |
Jenna L Graham, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 13555 W Mcdowell Rd, Goodyear, AZ 85395 Phone: 623-935-5522 Fax: 623-935-3220 |
Ms. Stacie Lyn Patterson, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 13677 W. Mc Dowell Road, 201, Goodyear, AZ 85395 Phone: 623-882-1926 Fax: 623-882-1709 |
Grace Mary Ruettinger, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 13471 W Cornerstone Blvd, Goodyear, AZ 85395 Phone: 480-964-2273 |
Kyle Jervis, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 13677 W Mcdowell Rd # Az85395, Goodyear, AZ 85395 Phone: 623-882-1500 |
Katrina Carbonell Aquino, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 13677 W Mcdowell Rd, Goodyear, AZ 85395 Phone: 623-882-1500 |