| Mr Samuel Crandell, | |
|
2241 W 16th St, Safford, AZ 85546-4085 | |
| (520) 829-6900 | |
| (520) 795-9953 |
| Full Name | Mr Samuel Crandell |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 15 Years |
| Location | 2241 W 16th St, Safford, 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 |
|---|---|---|---|
| 1497024335 | NPI | - | NPPES |
| 312708 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 5000 (Arizona) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Home Health Safford, Llc | Safford, AZ | Home health agency |
| Mt. Graham Regional Medical Center | Safford, AZ | Hospital |
| San Carlos Apache Healthcare Corporation | Peridot, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| San Carlos Apache Healthcare Corporation | 0648580597 | 147 |
| Mt Graham Regional Medical Center Inc | 6204822364 | 64 |
| Entity Name | San Carlos Apache Healthcare Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265813075 PECOS PAC ID: 0648580597 Enrollment ID: O20151105002091 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Samuel Crandell, 4881 E Grant Rd, Tucson, AZ 85712-2704 Ph: (520) 829-6776 | Mr Samuel Crandell, 2241 W 16th St, Safford, AZ 85546-4085 Ph: (520) 829-6900 |
James Rima, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1300 S 20th Ave, Safford, AZ 85546 Phone: 928-428-3122 Fax: 928-428-7917 |
Kenneth B Larson, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1600 S 20th Ave, Safford, AZ 85546 Phone: 928-348-4021 |
Andrew White, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1600 S 20th Ave, Safford, AZ 85546 Phone: 928-348-4000 |
Ms. Sarah Dawn Wilson, P. A. C. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1300 S 20th Ave, Safford, AZ 85546 Phone: 928-428-3122 Fax: 928-428-7493 |
Mr. Randy Spencer Hann, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1600 S 20th Ave, Safford, AZ 85546 Phone: 480-201-6814 |
Michael Evans, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2016 W 16th St, Safford, AZ 85546 Phone: 928-428-1377 Fax: 928-348-8570 |
Mr. Cole Alan Bryce, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2270 W. 16th St., Safford, AZ 85546 Phone: 928-348-3703 Fax: 928-348-3705 |