| Jonathan Harris, PA-C | |
|
13657 W Mcdowell Rd Ste 207, Goodyear, AZ 85395-2603 | |
| (623) 748-9165 | |
| (623) 748-9734 |
| Full Name | Jonathan Harris |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 8 Years |
| Location | 13657 W Mcdowell Rd Ste 207, 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 |
|---|---|---|---|
| 1598251142 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 7109 (Arizona) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Red Mountain Dermatology Llc | 2466817127 | 2 |
| Atlas Medical Aco Llc | 1456885227 | 50 |
| Century Care Inc | 3971665605 | 51 |
| Entity Name | Century Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346499324 PECOS PAC ID: 3971665605 Enrollment ID: O20090203000530 |
| Entity Name | Bingham Dermatology Group LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083957906 PECOS PAC ID: 7416199286 Enrollment ID: O20130806000958 |
| Entity Name | La Laser Center PC a Professional Medical Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306982855 PECOS PAC ID: 9537181185 Enrollment ID: O20160111002432 |
| Entity Name | Red Mountain Dermatology LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205542560 PECOS PAC ID: 2466817127 Enrollment ID: O20230502001461 |
| Entity Name | Atlas Medical Aco LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396573705 PECOS PAC ID: 1456885227 Enrollment ID: O20250416003928 |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan Harris, PA-C 13657 W Mcdowell Rd Ste 207, Goodyear, AZ 85395-2603 Ph: (623) 748-9165 | Jonathan Harris, PA-C 13657 W Mcdowell Rd Ste 207, Goodyear, AZ 85395-2603 Ph: (623) 748-9165 |
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 |