| Mrs Jeanette C Bannister, PA-C | |
|
13677 W Mcdowell Rd, Goodyear, AZ 85395-2635 | |
| (623) 536-4200 | |
| (623) 935-0304 |
| Full Name | Mrs Jeanette C Bannister |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 15 Years |
| Location | 13677 W Mcdowell Rd, Goodyear, Arizona |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427325638 | NPI | - | NPPES |
| 827411 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 10001343A (Indiana) | Secondary |
| 363A00000X | Physician Assistant | 5411 (Arizona) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Regency Skin Institute Pllc | 5193097665 | 14 |
| Entity Name | Honorhealth |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801092564 PECOS PAC ID: 1456258607 Enrollment ID: O20031216000350 |
| Entity Name | Nextcare Arizona LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043371826 PECOS PAC ID: 9537161260 Enrollment ID: O20070209000357 |
| Entity Name | Honorhealth Ambulatory |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407050917 PECOS PAC ID: 5991603110 Enrollment ID: O20071005000449 |
| Entity Name | Neurocritical Care and Stroke of Arizona PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649561580 PECOS PAC ID: 0143493882 Enrollment ID: O20111025000861 |
| Entity Name | Acute Care Surgical Specialists LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225311871 PECOS PAC ID: 7315106416 Enrollment ID: O20120308000890 |
| Entity Name | Mussman PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821539156 PECOS PAC ID: 7517237365 Enrollment ID: O20170726004124 |
| Entity Name | Regency Skin Institute PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932630563 PECOS PAC ID: 5193097665 Enrollment ID: O20170817002453 |
| Entity Name | Regency Reconstruction PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972086924 PECOS PAC ID: 4082968995 Enrollment ID: O20181113000903 |
| Entity Name | Regency Ambulatory Surgery Center One LLC |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1073155834 PECOS PAC ID: 3072932235 Enrollment ID: O20201007003068 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Jeanette C Bannister, PA-C 9250 N 3rd St Ste 3015, Phoenix, AZ 85020-2425 Ph: (602) 996-4747 | Mrs Jeanette C Bannister, PA-C 13677 W Mcdowell Rd, Goodyear, AZ 85395-2635 Ph: (623) 536-4200 |
Ebenezer Khuram Qureshi, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1507 N Litchfield Rd Ste 200, Goodyear, AZ 85395 Phone: 623-215-0040 Fax: 623-935-9602 |
Maci Noble, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 15400 W Roosevelt St Apt 3099, Goodyear, AZ 85338 Phone: 541-621-6964 |
Jenna L Graham, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 13555 W Mcdowell Rd, Goodyear, AZ 85395 Phone: 623-935-5522 Fax: 623-935-3220 |
Ms. Stacie Lyn Patterson, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 13677 W. Mc Dowell Road, 201, Goodyear, AZ 85395 Phone: 623-882-1926 Fax: 623-882-1709 |
Grace Mary Ruettinger, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 13471 W Cornerstone Blvd, Goodyear, AZ 85395 Phone: 480-964-2273 |
Kyle Jervis, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 13677 W Mcdowell Rd # Az85395, Goodyear, AZ 85395 Phone: 623-882-1500 |
Katrina Carbonell Aquino, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 13677 W Mcdowell Rd, Goodyear, AZ 85395 Phone: 623-882-1500 |