| Mr Mark Anthony Tenn, PA-C | |
|
7219 N Litchfield Rd, Luke Afb, AZ 85309-1529 | |
| (623) 856-9830 | |
| (623) 856-4157 |
| Full Name | Mr Mark Anthony Tenn |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Medical |
| Location | 7219 N Litchfield Rd, Luke Afb, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952378259 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | (* (Not Available)) | Primary |
| Entity Name | Nextcare Arizona LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043371826 PECOS PAC ID: 9537161260 Enrollment ID: O20070209000357 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Mark Anthony Tenn, PA-C 7219 N Litchfield Rd, Luke Afb, AZ 85309-1529 Ph: (623) 856-9830 | Mr Mark Anthony Tenn, PA-C 7219 N Litchfield Rd, Luke Afb, AZ 85309-1529 Ph: (623) 856-9830 |
Mrs. Jessica Harris Rackley, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 7219 N Litchfield Rd, Luke Afb, AZ 85309 Phone: 623-856-9752 |
Steven R Chase, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 7219 N Litchfield Rd Bldg 1130, Luke Afb, AZ 85309 Phone: 623-856-4027 |
James Cecil Schuhs, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 7219 North Litchfield Road, 56 Mdg Mdos/sgops, Luke Afb, AZ 85309 Phone: 623-856-7324 |
Dean Saunders, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 7219 N Litchfield Rd, Luke Afb, AZ 85309 Phone: 623-856-2273 |