| Jodi Lynn Behm, PA-C | |
|
620 Lee St, Winslow, AZ 86047-2435 | |
| (928) 289-2000 | |
| Not Available |
| Full Name | Jodi Lynn Behm |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 620 Lee St, Winslow, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396015368 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 5066 (Arizona) | Primary |
| Entity Name | Nextcare Arizona LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043371826 PECOS PAC ID: 9537161260 Enrollment ID: O20070209000357 |
| Mailing Address | Practice Location Address |
|---|---|
| Jodi Lynn Behm, PA-C 620 Lee St, Winslow, AZ 86047-2435 Ph: (928) 289-2000 | Jodi Lynn Behm, PA-C 620 Lee St, Winslow, AZ 86047-2435 Ph: (928) 289-2000 |
Mr. James Ernest Smith, P.A.-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 500 Indiana Ave, Winslow, AZ 86047 Phone: 928-289-8157 |
Mrs. Julie M Maloney, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: Hc 63 Box 6267, Winslow, AZ 86047 Phone: 928-310-6414 |
Karl Daniel Granroth, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 620 Lee St, Winslow, AZ 86047 Phone: 928-289-2000 |