| Mrs Staci Ann Page, PA-C | |
|
1200 W Mohave Rd, Parker, AZ 85344-6349 | |
| (928) 669-7380 | |
| (928) 669-7371 |
| Full Name | Mrs Staci Ann Page |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 11 Years |
| Location | 1200 W Mohave Rd, Parker, 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 |
|---|---|---|---|
| 1568821338 | NPI | - | NPPES |
| 144556 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 6312 (Arizona) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| La Paz Regional Hospital | Parker, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| San Luis Walk-in Clinic Inc | 2668361841 | 49 |
| Entity Name | La Paz Regional Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053684555 PECOS PAC ID: 1557273356 Enrollment ID: O20031219000694 |
| Entity Name | San Luis Walk-in Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104228337 PECOS PAC ID: 2668361841 Enrollment ID: O20040514000795 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Staci Ann Page, PA-C Po Box 617, Somerton, AZ 85350-0617 Ph: (928) 315-7910 | Mrs Staci Ann Page, PA-C 1200 W Mohave Rd, Parker, AZ 85344-6349 Ph: (928) 669-7380 |
Dr. Gabriel Jose Torres Perez, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1200 W Mohave Rd, Parker, AZ 85344 Phone: 928-669-7380 |
Gloria Jean Eagle, P.A.-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1200 W Mohave Rd, Parker, AZ 85344 Phone: 928-669-7380 Fax: 928-669-7371 |
Jared Daniel Christiansen, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1200 W Mohave Rd, Parker, AZ 85344 Phone: 928-669-9201 Fax: 928-669-7422 |