| Ms Lana Hussein Khatib, PA-C | |
|
15410 S Mountain Pkwy, Suite 105, Phoenix, AZ 85044-6691 | |
| (480) 588-7564 | |
| (480) 374-5210 |
| Full Name | Ms Lana Hussein Khatib |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant - Medical |
| Location | 15410 S Mountain Pkwy, Phoenix, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154671238 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 5212 (Arizona) | Primary |
| Entity Name | Progressive Medical Associates PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548218613 PECOS PAC ID: 7113829599 Enrollment ID: O20040308001331 |
| 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 | Cep America- Arizona, PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780202804 PECOS PAC ID: 1850541970 Enrollment ID: O20121026000403 |
| Entity Name | Nextcare Arizona I JV LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114798071 PECOS PAC ID: 7416393194 Enrollment ID: O20240316000136 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Lana Hussein Khatib, PA-C 1343 N Alma School Rd, Ste 160, Chandler, AZ 85224-5901 Ph: (480) 588-7564 | Ms Lana Hussein Khatib, PA-C 15410 S Mountain Pkwy, Suite 105, Phoenix, AZ 85044-6691 Ph: (480) 588-7564 |
Laura Manigo, PA-C, MMS Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6135 N 35th Ave Ste 117, Phoenix, AZ 85017 Phone: 480-677-8282 |
Perry E Edinger, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 19636 N 27th Ave Ste 203, Phoenix, AZ 85027 Phone: 623-562-5050 Fax: 602-294-8277 |
Mr. Andrew Shane Kuhlman, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1635 E Myrtle Ave, Ste 400, Phoenix, AZ 85020 Phone: 602-944-2900 Fax: 602-944-0064 |
Marta Rebeccah Liang, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1441 N 12th St Fl 3, Phoenix, AZ 85006 Phone: 602-521-5700 Fax: 602-521-5701 |
Anh Truong Le, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 727 E Bethany Home Rd Ste D118, Phoenix, AZ 85014 Phone: 602-279-2400 Fax: 602-279-5890 |
Ms. Courtney Whidden Page, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 18444 N 25th Ave Ste 210, Phoenix, AZ 85023 Phone: 669-742-6738 Fax: 866-939-2673 |
Mr. Diego C. Alvarado, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 3333 E Camelback Rd Ste 122, Phoenix, AZ 85018 Phone: 602-522-1900 Fax: 602-381-3281 |