| Mr Kevin Lamar Redus, PA-C | |
|
520 Rose Ln, Wickenburg, AZ 85390-1447 | |
| (928) 684-5421 | |
| (289) 684-7457 |
| Full Name | Mr Kevin Lamar Redus |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Surgical |
| Location | 520 Rose Ln, Wickenburg, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164425633 | NPI | - | NPPES |
| AZ0146700 | Other | AZ | BLUE CROSS BLUE SHIELD AZ |
| 577786001 | Medicaid | AZ | |
| 577786 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 2477 (Arizona) | Secondary |
| 363AS0400X | Physician Assistant - Surgical | 2477 (Arizona) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Kevin Lamar Redus, PA-C 3811 E Bell Rd Ste 309, Phoenix, AZ 85032-2160 Ph: (480) 420-0749 | Mr Kevin Lamar Redus, PA-C 520 Rose Ln, Wickenburg, AZ 85390-1447 Ph: (928) 684-5421 |
Jan Malacara, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 36075 S Rincon Rd, Rosewood Ranch, Wickenburg, AZ 85390 Phone: 928-684-9594 Fax: 480-607-5119 | |
Jena Savage, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 38 N Jefferson St, Wickenburg, AZ 85390 Phone: 928-668-6165 | |
Cheryl Wolfe-ruiz, P.A.-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 108 N Frontier St, Wickenburg, AZ 85390 Phone: 928-684-7255 Fax: 928-684-7299 | |
Kenneth B Caton, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 520 Rose Ln, Wickenburg, AZ 85390 Phone: 286-841-8339 Fax: 623-523-6581 |