| Nathan John Ethridge, PA-C | |
|
5330 S Highway 95, Fort Mohave, AZ 86426-9225 | |
| (928) 788-2273 | |
| Not Available |
| Full Name | Nathan John Ethridge |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 12 Years |
| Location | 5330 S Highway 95, Fort Mohave, 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 |
|---|---|---|---|
| 1316354400 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 5750 (Arizona) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Western Arizona Regional Medical Center | Bullhead city, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tempe Emergency Physicians Ltd | 2365337300 | 15 |
| Entity Name | Chandler Emergency Medical Group LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104871961 PECOS PAC ID: 1658272968 Enrollment ID: O20040120000160 |
| Entity Name | Tempe Emergency Physicians Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376934315 PECOS PAC ID: 2365337300 Enrollment ID: O20040218000500 |
| Entity Name | Emergency Physicians Southwest PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912053752 PECOS PAC ID: 2264538529 Enrollment ID: O20070502000382 |
| 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 | Nes Arizona Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205217700 PECOS PAC ID: 2163737206 Enrollment ID: O20150818005113 |
| Entity Name | Arizona Acute Medical Services 1 PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154860674 PECOS PAC ID: 6204113970 Enrollment ID: O20170505001284 |
| Entity Name | Tec Emergency Physicians of Arizona, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245772870 PECOS PAC ID: 6204256084 Enrollment ID: O20201016000157 |
| 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 |
|---|---|
| Nathan John Ethridge, PA-C 5330 Arizona 95, Ft Mohave, AZ 86426 Ph: Not Available | Nathan John Ethridge, PA-C 5330 S Highway 95, Fort Mohave, AZ 86426-9225 Ph: (928) 788-2273 |
Patrick L Ballou, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5330 S Highway 95, Fort Mohave, AZ 86426 Phone: 928-788-7065 |
Kayla Barnett, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1520 E Hammer Ln Ste 102, Fort Mohave, AZ 86426 Phone: 928-963-9191 |
Mrs. Lisa Jane Carpenter, P.A.C. Physician Assistant Medicare: Medicare Enrolled Practice Location: 1611 Joy Ln, Fort Mohave, AZ 86426 Phone: 928-788-1900 |