| Mr Mark Alexander Azel, PA-C | |
|
46th Engineer Combat Battalion, Bldg. 2264, Suite 105, Fort Polk, LA 71459 | |
| (337) 531-4233 | |
| Not Available |
| Full Name | Mr Mark Alexander Azel |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 46th Engineer Combat Battalion, Fort Polk, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053477950 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 1052506 (* (Not Available)) | Primary |
| Entity Name | Covenant Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457302010 PECOS PAC ID: 2860305463 Enrollment ID: O20060719000030 |
| Entity Name | App of Tennessee Ed PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003230236 PECOS PAC ID: 8123251766 Enrollment ID: O20140506000159 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Mark Alexander Azel, PA-C 16314 Moran Pl Apt A, Fort Polk, LA 71459-2576 Ph: (337) 537-8979 | Mr Mark Alexander Azel, PA-C 46th Engineer Combat Battalion, Bldg. 2264, Suite 105, Fort Polk, LA 71459 Ph: (337) 531-4233 |
Joshua Mark Stipsits, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1585 3rd St Bldg 285, Fort Polk, LA 71459 Phone: 726-780-2443 |
Alexander Kenney, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1585 3rd St, Fort Polk, LA 71459 Phone: 803-260-9993 |
Mr. Samson Bekele Beshia, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1585 3rd St, Fort Polk, LA 71459 Phone: 337-531-3118 |
Mr. Garrett Simmons, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: Bayne-jones Army Community Hospital 1585 Third St, Fort Polk, LA 71459 Phone: 318-840-3924 |
Michael Davidson, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1585 3rd St, Fort Polk, LA 71459 Phone: 337-531-3517 |
Brian Richard Carlson, PHYSICIAN ASSISTANT Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1585 3rd St, Fort Polk, LA 71459 Phone: 614-371-8434 |
Mr. Roderick Kelly, PA Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 1585 3rd St, Fort Polk, LA 71459 Phone: 337-531-3011 |