| Kelly D Chavez, PA-C | |
|
1729 N Trekell Rd, Suite 124, Casa Grande, AZ 85222 | |
| (520) 421-7100 | |
| Not Available |
| Full Name | Kelly D Chavez |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 23 Years |
| Location | 1729 N Trekell Rd, Casa Grande, 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 |
|---|---|---|---|
| 1356329379 | NPI | - | NPPES |
| P00990161 | Other | AZ | RR MEDICARE - AZ CASA GRANDE |
| 11435577 | Medicaid | NM |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Az Dermatology Llc | 5698850543 | 19 |
| Entity Name | Az Dermatology LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508035411 PECOS PAC ID: 5698850543 Enrollment ID: O20080317000520 |
| Entity Name | English Dermatology PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245659432 PECOS PAC ID: 4385867761 Enrollment ID: O20140604000450 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly D Chavez, PA-C 2285 Corporate Cir, Ste 200, Henderson, NV 89074-7759 Ph: (702) 360-2763 | Kelly D Chavez, PA-C 1729 N Trekell Rd, Suite 124, Casa Grande, AZ 85222 Ph: (520) 421-7100 |
Quinten Michael Permenter, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 560 N Camino Mercado Ste 7, Casa Grande, AZ 85122 Phone: 520-836-5538 Fax: 844-722-0049 |
Sarah M Przybyla, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1800 E Florence Blvd, Casa Grande Regional Medical Center, Casa Grande, AZ 85122 Phone: 520-381-6368 |
Kelsey N.s. Pangelinan, DMSC, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 560 N Camino Mercado Ste 7, Casa Grande, AZ 85122 Phone: 480-900-7256 Fax: 844-722-0049 |
William G. Bove, P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: 1800 E Florence Blvd, Casa Grande, AZ 85222 Phone: 520-381-6300 Fax: 520-381-6618 |
Garrett Tyler Montoya, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 560 N Camino Mercado Ste 7, Casa Grande, AZ 85122 Phone: 520-836-5538 |
Derek B Carpenter, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 865 N Arizola Rd, Casa Grande, AZ 85122 Phone: 520-836-3446 |
Aaron Timothy Newton, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1683 E Florence Blvd Ste 7, Casa Grande, AZ 85122 Phone: 520-876-0800 |