| Mr Vincent Robert Hernandez, PAC | |
|
5656 S Power Rd, Gilbert Hospital, Gilbert, AZ 85236 | |
| (480) 984-2000 | |
| (480) 279-5836 |
| Full Name | Mr Vincent Robert Hernandez |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 5656 S Power Rd, Gilbert, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396804084 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 1925 (Arizona) | Primary |
| Entity Name | Mountain Vista Emergency Physicians, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164642963 PECOS PAC ID: 8325139223 Enrollment ID: O20070807000555 |
| Entity Name | Emergency Group of Arizona Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215275433 PECOS PAC ID: 1355596644 Enrollment ID: O20130313000442 |
| Entity Name | Empower St Josephs PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154015089 PECOS PAC ID: 2961866173 Enrollment ID: O20231222001956 |
| Entity Name | Usacs of Colorado Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235765074 PECOS PAC ID: 4981507571 Enrollment ID: O20250116003493 |
| Entity Name | Usacs Emergency Medicine of Arizona LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770392490 PECOS PAC ID: 7113447475 Enrollment ID: O20250218000978 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Vincent Robert Hernandez, PAC Po Box 808, Winfield, WV 25213 Ph: (304) 586-0771 | Mr Vincent Robert Hernandez, PAC 5656 S Power Rd, Gilbert Hospital, Gilbert, AZ 85236 Ph: (480) 984-2000 |
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 |