| Mr Micah Lasley, PA-C | |
|
3370 S Mercy Rd Ste 321, Gilbert, AZ 85297-0417 | |
| (480) 680-9063 | |
| Not Available |
| Full Name | Mr Micah Lasley |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 14 Years |
| Location | 3370 S Mercy Rd Ste 321, Gilbert, 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 |
|---|---|---|---|
| 1225381130 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 5224 (Arizona) | Secondary |
| 363A00000X | Physician Assistant | 60509731 (Washington) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Olympic Medical Center | Port angeles, WA | Hospital |
| St Michael Medical Center | Silverdale, WA | Hospital |
| Jefferson Healthcare | Port townsend, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sound Pain Alliance | 0941565162 | 43 |
| Entity Name | Pinnacle Pain Services, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326308982 PECOS PAC ID: 9133385917 Enrollment ID: O20120725000934 |
| Entity Name | Sound Pain Alliance |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649776394 PECOS PAC ID: 0941565162 Enrollment ID: O20180517001248 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Micah Lasley, PA-C 3370 S Mercy Rd Ste 321, Gilbert, AZ 85297-0417 Ph: (360) 752-0518 | Mr Micah Lasley, PA-C 3370 S Mercy Rd Ste 321, Gilbert, AZ 85297-0417 Ph: (480) 680-9063 |
Samuel Dean Fox, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4915 E Baseline Rd Ste 102, Gilbert, AZ 85234 Phone: 480-646-8660 Fax: 480-646-8665 |
Ethan Everlith, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2940 E Banner Gateway Dr Ste 200, Gilbert, AZ 85234 Phone: 480-964-2908 |
Clara Michelle Goodman, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3530 S Val Vista Dr Ste C101, Gilbert, AZ 85297 Phone: 602-491-0703 Fax: 833-661-1781 |
Saira Punjwani Hemani, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4100 S Lindsay Rd Ste 129, Gilbert, AZ 85297 Phone: 718-216-7002 |
Amanda E Shelley, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2196 E Williams Field Rd, #116, Gilbert, AZ 85295 Phone: 480-237-1395 Fax: 602-218-4076 |
Clay Daniel Shorter, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2940 E Banner Gateway Dr Ste 200-250, Gilbert, AZ 85234 Phone: 602-648-5444 Fax: 602-772-3801 |
Carolyn Renee Wagner Von Hoff, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3591 S Mercy Rd Ste 204, Gilbert, AZ 85297 Phone: 866-974-2673 Fax: 866-939-2673 |