| Jon Pennington, PA-C | |
|
14520 W Granite Valley Dr Ste 210, Sun City West, AZ 85375-5855 | |
| (866) 974-2673 | |
| (866) 939-2673 |
| Full Name | Jon Pennington |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 11 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 |
|---|---|---|---|
| 1598167074 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | PA60600014 (Washington) | Secondary |
| 363A00000X | Physician Assistant | 9035 (Arizona) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Paramount Behavioral Health Services Pllc | 4880957463 | 11 |
| Entity Name | Emergency Group of Arizona Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215275433 PECOS PAC ID: 1355596644 Enrollment ID: O20130313000442 |
| Entity Name | Paramount Behavioral Health Services PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366941361 PECOS PAC ID: 4880957463 Enrollment ID: O20180412001364 |
| 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 |
| Entity Name | Tec Emergency Physicians of Arizona, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245772870 PECOS PAC ID: 6204256084 Enrollment ID: O20201016000157 |
| Mailing Address | Practice Location Address |
|---|---|
| Jon Pennington, PA-C 14520 W Granite Valley Dr Ste 210, Sun City West, AZ 85375-5855 Ph: (866) 974-2673 | Jon Pennington, 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 |