| Samuel Madrid, PA | |
|
13400 E Shea Blvd, Scottsdale, AZ 85259-5499 | |
| (480) 301-8000 | |
| Not Available |
| Full Name | Samuel Madrid |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 13400 E Shea Blvd, Scottsdale, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407418932 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 9982 (Arizona) | Primary |
| 156FX1800X | Technician/technologist - Optician | (NU) | Secondary |
| Entity Name | Mayo Clinic Arizona |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558332494 PECOS PAC ID: 7012829930 Enrollment ID: O20031105000782 |
| Mailing Address | Practice Location Address |
|---|---|
| Samuel Madrid, PA 13400 E Shea Blvd, Scottsdale, AZ 85259-5499 Ph: (480) 301-8000 | Samuel Madrid, PA 13400 E Shea Blvd, Scottsdale, AZ 85259-5499 Ph: (480) 301-8000 |
Brandon Paige, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3126 N Civic Center Plz, Scottsdale, AZ 85251 Phone: 480-874-2040 |
Abigail Cottrell, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 13400 E Shea Blvd, Scottsdale, AZ 85259 Phone: 480-301-8000 |
Mr. Roberto Bobby Alexander Jr., PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3126 N Civic Center Plz, Scottsdale, AZ 85251 Phone: 480-874-2040 Fax: 480-874-2041 |
Ms. Jessica Irene Sazdoff, PAC Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 9700 N 91st St, Suite C-200, Scottsdale, AZ 85258 Phone: 480-425-5063 Fax: 480-425-5010 |
Amber N Brooks-gumbert, P.A.-C. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 13400 E Shea Blvd, Scottsdale, AZ 85259 Phone: 480-301-8000 |
Orland Kenton Boucher, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 13400 E Shea Blvd, Scottsdale, AZ 85259 Phone: 480-301-8000 |
Lori L Gushue, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 13400 E Shea Blvd, Scottsdale, AZ 85259 Phone: 480-301-8000 |