| Katrina Carbonell Aquino, PA | |
|
13677 W Mcdowell Rd, Goodyear, AZ 85395-2635 | |
| (623) 882-1500 | |
| Not Available |
| Full Name | Katrina Carbonell Aquino |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 13677 W Mcdowell Rd, Goodyear, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073039947 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 0010-11849 (North Carolina) | Primary |
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| Entity Name | University of North Carolina at Chapel Hill |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780669200 PECOS PAC ID: 0648181156 Enrollment ID: O20031105000359 |
| Entity Name | Bull City Physicians PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770004285 PECOS PAC ID: 6901164938 Enrollment ID: O20171221001735 |
| Entity Name | Gem Capital Physicians PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225524598 PECOS PAC ID: 8628320918 Enrollment ID: O20181015003602 |
| Mailing Address | Practice Location Address |
|---|---|
| Katrina Carbonell Aquino, PA 8201 W Beardsley Rd Apt 1071, Peoria, AZ 85382-2454 Ph: (702) 321-7274 | Katrina Carbonell Aquino, PA 13677 W Mcdowell Rd, Goodyear, AZ 85395-2635 Ph: (623) 882-1500 |
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 |
Mr. Mitchell D Erickson, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 13677 W Mcdowell Rd, Goodyear, AZ 85395 Phone: 623-882-1500 |