| Nicole Surman, PA | |
|
13995 W Statler Blvd Ste 150, Surprise, AZ 85374-5512 | |
| (805) 560-4464 | |
| Not Available |
| Full Name | Nicole Surman |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 1 Years |
| Location | 13995 W Statler Blvd Ste 150, Surprise, Arizona |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487052130 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 11106 (Arizona) | Primary |
| 2255A2300X | Specialist/technologist - Athletic Trainer | 003678 (Ohio) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Richard Lee Averitte Jr Pllc | 9638069099 | 31 |
| Entity Name | Richard Lee Averitte Jr PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407804115 PECOS PAC ID: 9638069099 Enrollment ID: O20040318000802 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Surman, PA 13995 W Statler Blvd Ste 150, Surprise, AZ 85374-5512 Ph: (480) 556-0446 | Nicole Surman, PA 13995 W Statler Blvd Ste 150, Surprise, AZ 85374-5512 Ph: (805) 560-4464 |
Elizabeth Frances Williams, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 14780 W. Mountain View Blvd., Suite 110, Surprise, AZ 85374 Phone: 623-374-7774 Fax: 623-796-5302 |
Melinda Gutierrez, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 15571 N Reems Rd, Surprise, AZ 85374 Phone: 623-544-6932 Fax: 623-321-1070 |
Jamie Brockman, PAC Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 14674 W Mountain View Blvd Ste 200, Surprise, AZ 85374 Phone: 623-544-6860 Fax: 623-544-6861 |
Ms. Lorie Weber, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 14780 W. Mountain View Blvd., Suite 110, Surprise, AZ 85374 Phone: 623-374-7774 Fax: 877-796-5302 |
Reyna Martin, Physician Assistant Medicare: Medicare Enrolled Practice Location: 16928 W Bell Rd Ste 701, Surprise, AZ 85374 Phone: 623-850-0026 Fax: 623-850-0027 |
Lauren Fuller, Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 14725 W Mountain View Blvd, Surprise, AZ 85374 Phone: 623-243-9077 |
Despina Lozevski, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 16815 W Bell Rd, Surprise, AZ 85374 Phone: 623-244-2400 |