| Kyle Sutherland, | |
|
3219 E Camelback Rd, #205, Phoenix, AZ 85018-2307 | |
| (480) 388-1742 | |
| Not Available |
| Full Name | Kyle Sutherland |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 10 Years |
| Location | 3219 E Camelback Rd, Phoenix, 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 |
|---|---|---|---|
| 1225486442 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 6666 (Arizona) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Honorhealth John C. Lincoln Medical Center | Phoenix, AZ | Hospital |
| Northern Light Eastern Maine Medical Center | Bangor, ME | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Emergency Group Of Arizona Professional Corporation | 1355596644 | 102 |
| Eastern Maine Medical Center | 2062315161 | 659 |
| Entity Name | Honorhealth |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801092564 PECOS PAC ID: 1456258607 Enrollment ID: O20031216000350 |
| Entity Name | Emcare - Pnx Emergency Physicians LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902855992 PECOS PAC ID: 3779574165 Enrollment ID: O20040524000667 |
| Entity Name | Loop 101 Emergency Physicians LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376573378 PECOS PAC ID: 0840295481 Enrollment ID: O20061003000466 |
| Entity Name | Emergency Physicians Southwest PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912053752 PECOS PAC ID: 2264538529 Enrollment ID: O20070502000382 |
| Entity Name | District Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336472448 PECOS PAC ID: 7315086691 Enrollment ID: O20091125000583 |
| Entity Name | Quantum Healthcare Medical Associates of Arizona PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821391269 PECOS PAC ID: 5597946350 Enrollment ID: O20110228000065 |
| Entity Name | Cep America- Arizona, PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780202804 PECOS PAC ID: 1850541970 Enrollment ID: O20121026000403 |
| 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 | 303 Emergency Physicians PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518398585 PECOS PAC ID: 2567692528 Enrollment ID: O20140313001083 |
| Entity Name | Sound Physicians Emergency Medicine of Arizona Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700328663 PECOS PAC ID: 5799066650 Enrollment ID: O20170109000725 |
| 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 |
|---|---|
| Kyle Sutherland, 3219 E Camelback Rd, #205, Phoenix, AZ 85018-2307 Ph: (480) 388-1742 | Kyle Sutherland, 3219 E Camelback Rd, #205, Phoenix, AZ 85018-2307 Ph: (480) 388-1742 |
Laura Manigo, PA-C, MMS Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6135 N 35th Ave Ste 117, Phoenix, AZ 85017 Phone: 480-677-8282 |
Perry E Edinger, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 19636 N 27th Ave Ste 203, Phoenix, AZ 85027 Phone: 623-562-5050 Fax: 602-294-8277 |
Mr. Andrew Shane Kuhlman, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1635 E Myrtle Ave, Ste 400, Phoenix, AZ 85020 Phone: 602-944-2900 Fax: 602-944-0064 |
Mr. Joseph Andrew Vitagliano, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1110 E Missouri Ave Ste 110, Phoenix, AZ 85014 Phone: 480-542-8202 |
Marta Rebeccah Liang, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1441 N 12th St Fl 3, Phoenix, AZ 85006 Phone: 602-521-5700 Fax: 602-521-5701 |
Anh Truong Le, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 727 E Bethany Home Rd Ste D118, Phoenix, AZ 85014 Phone: 602-279-2400 Fax: 602-279-5890 |
Ms. Courtney Whidden Page, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 18444 N 25th Ave Ste 210, Phoenix, AZ 85023 Phone: 669-742-6738 Fax: 866-939-2673 |