| Stephanie Gabrielle Von Pahlen-fedoroff, PAC | |
|
500 W Thomas Rd Ste 400, Phoenix, AZ 85013-4238 | |
| (602) 406-3874 | |
| (602) 406-2335 |
| Full Name | Stephanie Gabrielle Von Pahlen-fedoroff |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 21 Years |
| Location | 500 W Thomas Rd Ste 400, Phoenix, 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 |
|---|---|---|---|
| 1497798573 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 4619 (Arizona) | Secondary |
| 363AS0400X | Physician Assistant - Surgical | 4619 (Arizona) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St. Joseph's Hospital And Medical Center | Phoenix, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St. Joseph's Hospital And Medical Center | 6709863178 | 23 |
| Entity Name | Sjhmc Physician Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326098005 PECOS PAC ID: 4486646197 Enrollment ID: O20040401001189 |
| Entity Name | St. Joseph's Hospital and Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255382412 PECOS PAC ID: 6709863178 Enrollment ID: O20040702000601 |
| Mailing Address | Practice Location Address |
|---|---|
| Stephanie Gabrielle Von Pahlen-fedoroff, PAC Po Box 33269, Phoenix, AZ 85067-3269 Ph: (602) 406-4786 | Stephanie Gabrielle Von Pahlen-fedoroff, PAC 500 W Thomas Rd Ste 400, Phoenix, AZ 85013-4238 Ph: (602) 406-3874 |
Laura Manigo, PA-C, MMS Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6135 N 35th Ave Ste 117, Phoenix, AZ 85017 Phone: 480-677-8282 |
Perry E Edinger, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 19636 N 27th Ave Ste 203, Phoenix, AZ 85027 Phone: 623-562-5050 Fax: 602-294-8277 |
Mr. Andrew Shane Kuhlman, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1635 E Myrtle Ave, Ste 400, Phoenix, AZ 85020 Phone: 602-944-2900 Fax: 602-944-0064 |
Mr. Joseph Andrew Vitagliano, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1110 E Missouri Ave Ste 110, Phoenix, AZ 85014 Phone: 480-542-8202 |
Marta Rebeccah Liang, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1441 N 12th St Fl 3, Phoenix, AZ 85006 Phone: 602-521-5700 Fax: 602-521-5701 |
Anh Truong Le, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 727 E Bethany Home Rd Ste D118, Phoenix, AZ 85014 Phone: 602-279-2400 Fax: 602-279-5890 |
Ms. Courtney Whidden Page, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 18444 N 25th Ave Ste 210, Phoenix, AZ 85023 Phone: 669-742-6738 Fax: 866-939-2673 |