| Shane Joseph Ewalt, PHYSICIAN ASSISTANT | |
|
525 S Chandler Village Dr, Chandler, AZ 85226-5069 | |
| (480) 750-0303 | |
| (480) 786-5202 |
| Full Name | Shane Joseph Ewalt |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 9 Years |
| Location | 525 S Chandler Village Dr, Chandler, 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 |
|---|---|---|---|
| 1679091920 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | 6865 (Arizona) | Secondary |
| 363A00000X | Physician Assistant | 6865 (Arizona) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Orthopedic Specialists Of North America Pllc | 7719014505 | 310 |
| Entity Name | Orthopedic Specialists of North America PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770812828 PECOS PAC ID: 7719014505 Enrollment ID: O20100428000061 |
| Entity Name | Toca at Banner Health LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386270932 PECOS PAC ID: 3072934777 Enrollment ID: O20200604003160 |
| Mailing Address | Practice Location Address |
|---|---|
| Shane Joseph Ewalt, PHYSICIAN ASSISTANT Po Box 80217, Phoenix, AZ 85060-0217 Ph: (602) 385-2115 | Shane Joseph Ewalt, PHYSICIAN ASSISTANT 525 S Chandler Village Dr, Chandler, AZ 85226-5069 Ph: (480) 750-0303 |
Sarah Wilson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 485 S Dobson Rd Ste 201, Chandler, AZ 85224 Phone: 480-728-4981 Fax: 480-728-4985 |
Reichard Andres Ruiz-perez, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 910 E Pecos Rd, Chandler, AZ 85225 Phone: 480-360-4000 |
Carol B Brennan, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 475 S Dobson Rd, Chandler, AZ 85224 Phone: 480-728-3753 Fax: 480-728-3305 |
Cassandra Dorame, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1050 E Ray Rd Ste 4a, Chandler, AZ 85225 Phone: 480-659-2000 Fax: 480-659-3201 |
Alicia Lynn Burns, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 333 N Dobson Rd Ste 15, Chandler, AZ 85224 Phone: 480-282-8336 |
Emily Montague, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2055 W Frye Rd Ste 9, Chandler, AZ 85224 Phone: 480-821-3600 |
Bushra Mahmood, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1940 W Chilton Dr, Chandler, AZ 85224 Phone: 559-761-9334 |