| John O'shea, PA-C | |
|
107 E Oak Ave, Flagstaff, AZ 86001-1818 | |
| (928) 779-7880 | |
| Not Available |
| Full Name | John O'shea |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 8 Years |
| Location | 107 E Oak Ave, Flagstaff, 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 |
|---|---|---|---|
| 1750856647 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 10516 (Arizona) | Secondary |
| 363A00000X | Physician Assistant | 055.0031458 (Vermont) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Verde Valley Medical Center | Cottonwood, AZ | Hospital |
| Little Colorado Medical Center | Winslow, AZ | Hospital |
| Flagstaff Medical Center | Flagstaff, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northern Arizona Healthcare Corporation | 3577473362 | 391 |
| Winslow Memorial Hospital Inc | 8628988409 | 44 |
| Entity Name | Winslow Memorial Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477653889 PECOS PAC ID: 8628988409 Enrollment ID: O20040224001246 |
| Entity Name | Northern Arizona Healthcare Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669914552 PECOS PAC ID: 3577473362 Enrollment ID: O20170801003409 |
| Mailing Address | Practice Location Address |
|---|---|
| John O'shea, PA-C 575 Turnpike St Ste 21, North Andover, MA 01845-5937 Ph: (978) 794-1946 | John O'shea, PA-C 107 E Oak Ave, Flagstaff, AZ 86001-1818 Ph: (928) 779-7880 |
Mr. Bruce A Mortensen, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 2000 S Thompson St, Flagstaff, AZ 86001 Phone: 928-226-6400 Fax: 928-226-6410 |
Corey Allen Carver, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 525 N Switzer Canyon Dr, Flagstaff, AZ 86001 Phone: 928-773-2280 Fax: 928-773-2281 |
Erin H Engel, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 107 E Oak Ave, Flagstaff, AZ 86001 Phone: 928-779-7880 Fax: 928-779-7895 |
Anna Elizabeth Fredenberg, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 525 N Switzer Canyon Dr, Flagstaff, AZ 86001 Phone: 928-773-2280 Fax: 928-773-2281 |
Kelly Michele Czarnecki, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1490 N Turquoise Dr, Flagstaff, AZ 86001 Phone: 928-774-5074 Fax: 928-774-0884 |
Kimberly Sargent, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 107 E Oak Ave, Flagstaff, AZ 86001 Phone: 928-779-7880 |
Mr. Raymond Wolfgang Lieber, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 107 E Oak Ave, Flagstaff, AZ 86001 Phone: 928-779-7880 Fax: 928-779-7895 |